Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,698.24 / $1,698.24	Facility		$371.54	$1,698.24	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $288.40 / $457.09	Professional		$251.19	$288.40	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $1,096.48	Facility		$616.60	$616.60	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $436.52 / $549.54	Professional		$380.19	$436.52	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $831.76 / $977.24	Professional		$380.19	$831.76	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $457.09	Facility		$380.19	$380.19	$457.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $416.87 / $512.86	Professional		$380.19	$416.87	$512.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $416.87 / $588.84	Facility		$338.84	$416.87	$588.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $524.81 / $1,096.48	Facility		$371.54	$524.81	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $398.11 / $524.81	Professional		$79.43	$398.11	$524.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,122.02 / $1,479.11	Facility		$575.44	$1,122.02	$1,479.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $346.74 / $457.09	Professional		$288.40	$346.74	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $602.56	Facility		$457.09	$457.09	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $457.09	Professional		$158.49	$158.49	$457.09