Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.51 / $562.54 / $864.04	Facility		$436.51	$562.54	$864.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $440.87 / $750.80	Professional		$432.02	$440.87	$750.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.57 / $558.44 / $898.60	Facility		$407.57	$558.44	$898.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $468.70	Professional		$432.02	$432.02	$468.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $430.25 / $958.09 / $1,109.84	Professional		$430.25	$958.09	$1,109.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.20 / $617.79 / $928.84	Facility		$115.20	$617.79	$928.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $418.31 / $457.94 / $561.63	Professional		$418.31	$457.94	$561.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $432.02 / $501.99 / $1,296.06	Facility		$432.02	$501.99	$1,296.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.57 / $567.08 / $928.84	Facility		$407.57	$567.08	$928.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.99 / $468.70 / $529.84	Professional		$119.99	$468.70	$529.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $392.68 / $638.92 / $1,514.22	Facility		$392.68	$638.92	$1,514.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $432.02	Professional		$432.02	$432.02	$432.02
United Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $449.30	Professional		$432.02	$432.02	$449.30