Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,174.90 / $2,089.30	Facility		$457.09	$1,174.90	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $354.81 / $562.34	Professional		$288.40	$354.81	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,348.96	Facility		$758.58	$758.58	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,000.00 / $1,230.27	Professional		$467.74	$1,000.00	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $645.65	Professional		$398.11	$512.86	$645.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $512.86 / $724.44	Facility		$416.87	$512.86	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $645.65 / $1,230.27	Facility		$346.74	$645.65	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $512.86 / $645.65	Professional		$79.43	$512.86	$645.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,412.54 / $1,819.70	Facility		$812.83	$1,412.54	$1,819.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $398.11 / $562.34	Professional		$371.54	$398.11	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $741.31	Facility		$562.34	$562.34	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $562.34	Professional		$194.98	$194.98	$562.34