Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.74 / $484.22 / $784.12	Facility		$390.74	$484.22	$784.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $395.98 / $853.12	Professional		$392.06	$395.98	$853.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.87 / $541.86 / $765.78	Facility		$369.87	$541.86	$765.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $425.35	Professional		$392.06	$392.06	$425.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $385.28 / $857.95 / $1,007.67	Professional		$385.28	$857.95	$1,007.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $159.46 / $497.49 / $842.93	Facility		$159.46	$497.49	$842.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $415.59 / $509.68	Professional		$392.06	$415.59	$509.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $390.74 / $488.43 / $815.48	Facility		$390.74	$488.43	$815.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $369.87 / $541.86 / $842.93	Facility		$369.87	$541.86	$842.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.66 / $425.35 / $478.64	Professional		$173.66	$425.35	$478.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $353.67 / $600.60 / $1,211.90	Facility		$353.67	$600.60	$1,211.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $392.06	Professional		$392.06	$392.06	$392.06
United Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $392.06	Professional		$392.06	$392.06	$392.06