Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.57 / $563.58 / $968.28	Facility		$481.57	$563.58	$968.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $488.98 / $948.18	Professional		$484.14	$488.98	$948.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.73 / $664.71 / $939.48	Facility		$456.73	$664.71	$939.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $484.14 / $525.24	Professional		$484.14	$484.14	$525.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $474.90 / $1,057.52 / $1,235.77	Professional		$474.90	$1,057.52	$1,235.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $484.14 / $692.32 / $1,040.90	Facility		$484.14	$692.32	$1,040.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $513.19 / $629.38	Professional		$484.14	$513.19	$629.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $481.57 / $601.96 / $1,007.01	Facility		$481.57	$601.96	$1,007.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $449.88 / $509.45 / $867.04	Facility		$449.88	$509.45	$867.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $541.90 / $587.16	Professional		$484.14	$541.90	$587.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $401.50 / $542.78 / $1,556.14	Facility		$401.50	$542.78	$1,556.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $484.14 / $484.14	Professional		$484.14	$484.14	$484.14
United Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $484.14 / $484.14	Professional		$484.14	$484.14	$484.14