Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.48 / $465.96 / $6,129.90	Facility		$376.48	$465.96	$6,129.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.51 / $381.30 / $655.08	Professional		$377.51	$381.30	$655.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.15 / $628.25 / $740.92	Facility		$356.15	$628.25	$740.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $377.52 / $409.57	Professional		$377.52	$377.52	$409.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.24 / $826.69 / $973.63	Professional		$371.24	$826.69	$973.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $282.54 / $479.88 / $811.67	Facility		$282.54	$479.88	$811.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $400.17 / $490.78	Professional		$377.52	$400.17	$490.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $376.48 / $452.24 / $1,129.44	Facility		$376.48	$452.24	$1,129.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $356.15 / $539.85 / $811.67	Facility		$356.15	$539.85	$811.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $252.46 / $409.57 / $464.11	Professional		$252.46	$409.57	$464.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $330.90 / $577.14 / $1,190.72	Facility		$330.90	$577.14	$1,190.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $377.52 / $377.52	Professional		$377.52	$377.52	$377.52
United Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $377.52 / $420.26	Professional		$377.52	$377.52	$420.26