Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.61 / $310.61 / $730.84	Facility		$310.61	$310.61	$730.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.30 / $303.30 / $828.44	Professional		$303.30	$303.30	$828.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.22 / $621.22 / $621.22	Facility		$621.22	$621.22	$621.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.61 / $310.61 / $310.61	Professional		$310.61	$310.61	$310.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.19 / $566.04 / $678.32	Professional		$254.19	$566.04	$678.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $303.30 / $403.20 / $652.10	Facility		$303.30	$403.20	$652.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $430.78 / $449.91	Professional		$224.00	$430.78	$449.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $372.40 / $79,999.20 / $79,999.20	Facility		$372.40	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $311.13 / $403.20 / $652.10	Facility		$311.13	$403.20	$652.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.44 / $372.88 / $633.62	Professional		$142.44	$372.88	$633.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $117.27 / $369.25 / $880.28	Facility		$117.27	$369.25	$880.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.76 / $95.76 / $95.76	Professional		$95.76	$95.76	$95.76
United Facility/Professional Professional Modifier Low / Median / High Price $298.30 / $298.30 / $298.30	Professional		$298.30	$298.30	$298.30