Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,388.44 / $3,388.44	Facility		$741.31	$3,388.44	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $575.44 / $912.01	Professional		$501.19	$575.44	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $2,187.76	Facility		$1,230.27	$1,230.27	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,096.48	Professional		$602.56	$758.58	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,659.59 / $1,949.84	Professional		$758.58	$1,659.59	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $831.76 / $1,096.48	Professional		$758.58	$831.76	$1,096.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $831.76 / $1,318.26	Facility		$691.83	$831.76	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,047.13 / $2,187.76	Facility		$741.31	$1,047.13	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $758.58 / $954.99	Professional		$79.43	$758.58	$954.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,290.87 / $3,019.95	Facility		$1,318.26	$2,290.87	$3,019.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $691.83 / $912.01	Professional		$575.44	$691.83	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,202.26	Facility		$912.01	$912.01	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $912.01	Professional		$316.23	$316.23	$912.01