Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.06 / $824.49 / $824.49	Facility		$468.06	$824.49	$824.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.56 / $474.65 / $2,604.13	Professional		$375.56	$474.65	$2,604.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.53 / $488.53 / $488.53	Facility		$488.53	$488.53	$488.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.63 / $356.63 / $488.53	Professional		$356.63	$356.63	$488.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $553.88 / $1,527.67 / $1,992.48	Professional		$553.88	$1,527.67	$1,992.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $474.65 / $679.56 / $956.37	Facility		$474.65	$679.56	$956.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $588.33 / $743.78 / $830.82	Professional		$588.33	$743.78	$830.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $628.08 / $744.64 / $819.10	Facility		$628.08	$744.64	$819.10
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $712.13 / $791.26 / $819.10	Professional		$712.13	$791.26	$819.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $474.65 / $692.85 / $830.82	Facility		$474.65	$692.85	$830.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $356.63 / $692.85 / $870.39	Professional		$356.63	$692.85	$870.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $659.23 / $1,315.82 / $2,775.97	Facility		$659.23	$1,315.82	$2,775.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $680.48 / $870.39 / $870.39	Professional		$680.48	$870.39	$870.39
United Facility/Professional Professional Modifier Low / Median / High Price $343.73 / $359.77 / $686.39	Professional		$343.73	$359.77	$686.39