Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.90 / $541.09 / $949.68	Facility		$491.90	$541.09	$949.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.83 / $479.59 / $846.08	Professional		$474.83	$479.59	$846.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $447.96 / $817.29 / $943.26	Facility		$447.96	$817.29	$943.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $474.84 / $515.15	Professional		$474.84	$474.84	$515.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $1,080.23 / $1,266.40	Professional		$474.84	$1,080.23	$1,266.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $474.84 / $679.02 / $1,206.15	Facility		$474.84	$679.02	$1,206.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $503.33 / $617.29	Professional		$474.84	$503.33	$617.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $474.84 / $556.87 / $1,424.52	Facility		$474.84	$556.87	$1,424.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $499.46 / $522.16 / $953.04	Facility		$499.46	$522.16	$953.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $201.60 / $515.15 / $601.61	Professional		$201.60	$515.15	$601.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $360.45 / $617.55 / $1,396.60	Facility		$360.45	$617.55	$1,396.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $474.84 / $474.84	Professional		$474.84	$474.84	$474.84
United Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $474.84 / $528.60	Professional		$474.84	$474.84	$528.60