Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $933.25 / $1,698.24	Facility		$363.08	$933.25	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $295.12 / $467.74	Professional		$245.47	$295.12	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $1,096.48	Facility		$602.56	$602.56	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $812.83 / $977.24	Professional		$371.54	$812.83	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $524.81	Facility		$371.54	$371.54	$524.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $416.87 / $524.81	Professional		$316.23	$416.87	$524.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $416.87 / $660.69	Facility		$338.84	$416.87	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $524.81 / $977.24	Facility		$281.84	$524.81	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $416.87 / $524.81	Professional		$79.43	$416.87	$524.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,122.02 / $1,479.11	Facility		$660.69	$1,122.02	$1,479.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $316.23 / $446.68	Professional		$302.00	$316.23	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $446.68	Professional		$158.49	$158.49	$446.68