Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,071.52 / $1,905.46	Facility		$416.87	$1,071.52	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $537.03	Professional		$281.84	$331.13	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,230.27	Facility		$691.83	$691.83	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $912.01 / $1,122.02	Professional		$426.58	$912.01	$1,122.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $588.84	Facility		$426.58	$426.58	$588.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $602.56	Professional		$363.08	$467.74	$602.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $467.74 / $741.31	Facility		$380.19	$467.74	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $588.84 / $1,122.02	Facility		$323.59	$588.84	$1,122.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $467.74 / $602.56	Professional		$79.43	$467.74	$602.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,288.25 / $1,698.24	Facility		$741.31	$1,288.25	$1,698.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $363.08 / $512.86	Professional		$338.84	$363.08	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $676.08	Facility		$512.86	$512.86	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $512.86	Professional		$177.83	$177.83	$512.86