Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.80 / $622.25 / $996.28	Facility		$497.80	$622.25	$996.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $518.26 / $856.22	Professional		$498.14	$518.26	$856.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.94 / $698.61 / $981.52	Facility		$469.94	$698.61	$981.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $498.14 / $540.42	Professional		$498.14	$498.14	$540.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $490.84 / $1,093.01 / $1,298.74	Professional		$490.84	$1,093.01	$1,298.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $498.14 / $712.34 / $1,071.00	Facility		$498.14	$712.34	$1,071.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $528.02 / $647.58	Professional		$498.14	$528.02	$647.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $497.80 / $622.25 / $1,493.40	Facility		$497.80	$622.25	$1,493.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $497.84 / $698.61 / $1,071.00	Facility		$497.84	$698.61	$1,071.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $587.42 / $619.23	Professional		$498.14	$587.42	$619.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $490.20 / $781.92 / $1,793.10	Facility		$490.20	$781.92	$1,793.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $498.14 / $498.14	Professional		$498.14	$498.14	$498.14
United Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $498.14 / $498.14	Professional		$498.14	$498.14	$498.14