Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.64 / $483.80 / $769.70	Facility		$381.64	$483.80	$769.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $388.70 / $1,156.97	Professional		$384.85	$388.70	$1,156.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.06 / $532.88 / $763.00	Facility		$363.06	$532.88	$763.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $384.85 / $417.52	Professional		$384.85	$384.85	$417.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $376.35 / $838.07 / $990.64	Professional		$376.35	$838.07	$990.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $384.85 / $550.34 / $827.43	Facility		$384.85	$550.34	$827.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $407.94 / $500.31	Professional		$384.85	$407.94	$500.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $381.64 / $442.94 / $1,144.92	Facility		$381.64	$442.94	$1,144.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $378.78 / $532.88 / $827.43	Facility		$378.78	$532.88	$827.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $472.54 / $490.13	Professional		$384.85	$472.54	$490.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $316.52 / $728.38 / $1,437.98	Facility		$316.52	$728.38	$1,437.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $384.85 / $384.85	Professional		$384.85	$384.85	$384.85
United Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $384.85 / $428.42	Professional		$384.85	$384.85	$428.42