Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $616.60 / $1,023.29	Facility		$380.19	$616.60	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $501.19	Professional		$380.19	$380.19	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $562.34 / $812.83	Facility		$354.81	$562.34	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $446.68	Professional		$380.19	$380.19	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $870.96 / $1,071.52	Professional		$416.87	$870.96	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $407.38 / $758.58	Facility		$380.19	$407.38	$758.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $426.58 / $537.03	Professional		$380.19	$426.58	$537.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $524.81 / $870.96	Facility		$426.58	$524.81	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $407.38 / $831.76	Facility		$380.19	$407.38	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $416.87 / $512.86	Professional		$79.43	$416.87	$512.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $691.83 / $1,479.11	Facility		$338.84	$691.83	$1,479.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
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 / $436.52	Professional		$380.19	$380.19	$436.52