Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.62 / $421.82 / $713.86	Facility		$348.62	$421.82	$713.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.10 / $356.93 / $599.63	Professional		$352.10	$356.93	$599.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.73 / $575.48 / $677.06	Facility		$336.73	$575.48	$677.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $404.07	Professional		$356.93	$356.93	$404.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $552.71 / $759.65 / $912.92	Professional		$552.71	$759.65	$912.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $348.62 / $360.50 / $767.40	Facility		$348.62	$360.50	$767.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $378.35 / $464.01	Professional		$356.93	$378.35	$464.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $348.62 / $404.07 / $1,070.79	Facility		$348.62	$404.07	$1,070.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $356.93 / $405.60 / $704.95	Facility		$356.93	$405.60	$704.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $405.60 / $454.27	Professional		$356.93	$405.60	$454.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $309.41 / $521.00 / $1,178.23	Facility		$309.41	$521.00	$1,178.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $392.62	Professional		$356.93	$356.93	$392.62
United Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $410.47	Professional		$356.93	$356.93	$410.47