Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $796.47 / $796.47 / $796.47	Facility		$796.47	$796.47	$796.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.23 / $484.26 / $2,026.93	Professional		$328.23	$484.26	$2,026.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $502.54 / $502.54 / $502.54	Facility		$502.54	$502.54	$502.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.16 / $427.16 / $502.54	Professional		$427.16	$427.16	$502.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $557.35 / $1,487.90 / $1,940.60	Professional		$557.35	$1,487.90	$1,940.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $484.26 / $663.44 / $796.22	Facility		$484.26	$663.44	$796.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $592.02 / $716.60 / $796.22	Professional		$592.02	$716.60	$796.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $716.60 / $796.22 / $1,030.35	Facility		$716.60	$796.22	$1,030.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $484.26 / $663.44 / $796.22	Facility		$484.26	$663.44	$796.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $427.16 / $697.20 / $875.84	Professional		$427.16	$697.20	$875.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $692.71 / $875.84 / $875.84	Professional		$692.71	$875.84	$875.84
United Facility/Professional Professional Modifier Low / Median / High Price $334.85 / $350.48 / $668.67	Professional		$334.85	$350.48	$668.67