Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.07 / $481.01 / $814.83	Facility		$383.07	$481.01	$814.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.06 / $391.07 / $574.61	Professional		$391.06	$391.07	$574.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.75 / $616.00 / $727.66	Facility		$362.75	$616.00	$727.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $442.72	Professional		$391.07	$391.07	$442.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $607.05 / $834.36 / $1,002.70	Professional		$607.05	$834.36	$1,002.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $383.07 / $410.62 / $840.80	Facility		$383.07	$410.62	$840.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $414.53 / $508.39	Professional		$391.07	$414.53	$508.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $383.07 / $450.10 / $1,173.21	Facility		$383.07	$450.10	$1,173.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $391.07 / $423.01 / $739.71	Facility		$391.07	$423.01	$739.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $424.27 / $485.92	Professional		$391.07	$424.27	$485.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $330.18 / $495.27 / $1,231.84	Facility		$330.18	$495.27	$1,231.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $469.28	Professional		$391.07	$391.07	$469.28
United Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $465.37	Professional		$391.07	$391.07	$465.37