Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.80 / $365.20 / $617.36	Facility		$306.80	$365.20	$617.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $311.77 / $645.04	Professional		$308.68	$311.77	$645.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.20 / $415.94 / $587.88	Facility		$291.20	$415.94	$587.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $334.89	Professional		$308.68	$308.68	$334.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.35 / $673.28 / $779.94	Professional		$302.35	$673.28	$779.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $308.68 / $441.41 / $663.66	Facility		$308.68	$441.41	$663.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $327.20 / $401.28	Professional		$308.68	$327.20	$401.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $306.79 / $383.50 / $642.04	Facility		$306.79	$383.50	$642.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $291.52 / $318.87 / $441.41	Facility		$291.52	$318.87	$441.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $351.15 / $367.40	Professional		$308.68	$351.15	$367.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $288.54 / $354.98 / $1,023.12	Facility		$288.54	$354.98	$1,023.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $308.68	Professional		$308.68	$308.68	$308.68
United Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $308.68	Professional		$308.68	$308.68	$308.68