Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $756.17 / $756.17 / $756.17	Facility		$756.17	$756.17	$756.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.37 / $475.76 / $3,483.15	Professional		$360.37	$475.76	$3,483.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.68 / $758.68 / $758.68	Facility		$758.68	$758.68	$758.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.84 / $553.84 / $758.68	Professional		$553.84	$553.84	$758.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.43 / $720.16 / $939.28	Professional		$239.43	$720.16	$939.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $256.52 / $360.37 / $1,058.08	Facility		$256.52	$360.37	$1,058.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $321.52 / $342.04 / $944.87	Professional		$321.52	$342.04	$944.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $342.04 / $509.74 / $991.87	Facility		$342.04	$509.74	$991.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $342.04 / $360.37 / $905.50	Facility		$342.04	$360.37	$905.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.50 / $536.32 / $1,003.79	Professional		$398.50	$536.32	$1,003.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $455.87 / $1,706.74 / $2,007.58	Facility		$455.87	$1,706.74	$2,007.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $297.57 / $376.24 / $1,036.51	Professional		$297.57	$376.24	$1,036.51
United Facility/Professional Professional Modifier Low / Median / High Price $332.08 / $551.38 / $865.02	Professional		$332.08	$551.38	$865.02