Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,398.83 / $2,454.71	Facility		$524.81	$2,398.83	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $407.38 / $645.65	Professional		$354.81	$407.38	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $1,584.89	Facility		$870.96	$870.96	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $537.03 / $776.25	Professional		$436.52	$537.03	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,174.90 / $1,380.38	Professional		$537.03	$1,174.90	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $588.84 / $776.25	Professional		$537.03	$588.84	$776.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $588.84 / $851.14	Facility		$489.78	$588.84	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $758.58 / $1,584.89	Facility		$524.81	$758.58	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $537.03 / $676.08	Professional		$79.43	$537.03	$676.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,621.81 / $2,137.96	Facility		$954.99	$1,621.81	$2,137.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $489.78 / $645.65	Professional		$407.38	$489.78	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $870.96	Facility		$645.65	$645.65	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $645.65	Professional		$229.09	$229.09	$645.65