Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.18 / $475.23 / $762.72	Facility		$380.18	$475.23	$762.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $385.17 / $906.91	Professional		$381.36	$385.17	$906.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.77 / $529.28 / $748.72	Facility		$359.77	$529.28	$748.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $413.74	Professional		$381.36	$381.36	$413.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $374.75 / $834.50 / $983.84	Professional		$374.75	$834.50	$983.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $381.36 / $489.31 / $819.92	Facility		$381.36	$489.31	$819.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $404.24 / $495.77	Professional		$381.36	$404.24	$495.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $380.18 / $475.23 / $1,140.54	Facility		$380.18	$475.23	$1,140.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.23 / $401.64 / $545.34	Facility		$380.23	$401.64	$545.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $390.40 / $434.43 / $467.53	Professional		$390.40	$434.43	$467.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $381.36 / $411.87 / $1,083.88	Facility		$381.36	$411.87	$1,083.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $381.36	Professional		$381.36	$381.36	$381.36
United Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $381.36	Professional		$381.36	$381.36	$381.36