Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $934.84 / $934.84 / $1,631.25	Facility		$934.84	$934.84	$1,631.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $318.75 / $318.75	Professional		$270.00	$318.75	$318.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $609.38 / $609.38 / $1,089.56	Facility		$609.38	$609.38	$1,089.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.38 / $219.38 / $219.38	Professional		$219.38	$219.38	$219.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $823.15 / $986.40	Professional		$375.00	$823.15	$986.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.25 / $393.75 / $825.00	Facility		$281.25	$393.75	$825.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $412.50 / $525.00	Professional		$375.00	$412.50	$525.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $420.00 / $656.25	Facility		$375.00	$420.00	$656.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $337.50 / $476.25 / $910.51	Facility		$337.50	$476.25	$910.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $412.50 / $412.50 / $525.00	Professional		$412.50	$412.50	$525.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,141.13 / $1,472.21	Facility		$750.00	$1,141.13	$1,472.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $599.44 / $737.66 / $1,179.83	Professional		$599.44	$737.66	$1,179.83
United Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $157.50 / $393.75	Professional		$157.50	$157.50	$393.75