Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.42 / $382.68 / $637.05	Facility		$317.42	$382.68	$637.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $384.72	Professional		$318.52	$318.52	$384.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.50 / $528.71 / $626.00	Facility		$300.50	$528.71	$626.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $360.60	Professional		$318.52	$318.52	$360.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $502.98 / $696.44 / $830.79	Professional		$502.98	$696.44	$830.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $317.42 / $334.46 / $684.84	Facility		$317.42	$334.46	$684.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $337.64 / $414.09	Professional		$318.52	$337.64	$414.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $306.66 / $318.52 / $658.80	Facility		$306.66	$318.52	$658.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $318.52 / $367.96 / $684.84	Facility		$318.52	$367.96	$684.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $367.96 / $405.68	Professional		$318.52	$367.96	$405.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $285.36 / $478.31 / $1,081.70	Facility		$285.36	$478.31	$1,081.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $350.38	Professional		$318.52	$318.52	$350.38
United Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $366.31	Professional		$318.52	$318.52	$366.31