Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.52 / $511.90 / $845.78	Facility		$409.52	$511.90	$845.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $704.40	Professional		$422.89	$422.89	$704.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.96 / $565.86 / $818.02	Facility		$398.96	$565.86	$818.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $485.77	Professional		$422.89	$422.89	$485.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $649.10 / $894.13 / $1,072.13	Professional		$649.10	$894.13	$1,072.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $409.52 / $444.03 / $910.93	Facility		$409.52	$444.03	$910.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $448.27 / $549.76	Professional		$422.89	$448.27	$549.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $409.52 / $479.40 / $1,268.67	Facility		$409.52	$479.40	$1,268.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $422.89 / $500.30 / $910.93	Facility		$422.89	$500.30	$910.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $500.30 / $548.33	Professional		$422.89	$500.30	$548.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $340.62 / $630.17 / $1,493.56	Facility		$340.62	$630.17	$1,493.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $422.89	Professional		$422.89	$422.89	$422.89
United Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $486.32	Professional		$422.89	$422.89	$486.32