Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $707.95 / $11,220.18	Facility		$380.19	$707.95	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $389.05 / $489.78	Professional		$380.19	$389.05	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $630.96 / $741.31	Facility		$363.08	$630.96	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $416.87	Professional		$380.19	$380.19	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $812.83 / $977.24	Professional		$380.19	$812.83	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $407.38 / $758.58	Facility		$346.74	$407.38	$758.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $407.38 / $501.19	Professional		$190.55	$407.38	$501.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $467.74 / $776.25	Facility		$380.19	$467.74	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $549.54 / $1,096.48	Facility		$380.19	$549.54	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $380.19 / $436.52	Professional		$79.43	$380.19	$436.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $588.84 / $1,148.15	Facility		$331.13	$588.84	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $912.01	Facility		$380.19	$380.19	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $426.58	Professional		$380.19	$380.19	$426.58