Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,023.29 / $1,862.09	Facility		$398.11	$1,023.29	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $338.84 / $575.44	Professional		$275.42	$338.84	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $1,202.26	Facility		$660.69	$660.69	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $870.96 / $1,071.52	Professional		$407.38	$870.96	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $562.34	Facility		$407.38	$407.38	$562.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $446.68 / $575.44	Professional		$389.05	$446.68	$575.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $446.68 / $676.08	Facility		$371.54	$446.68	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $575.44 / $1,096.48	Facility		$316.23	$575.44	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $446.68 / $616.60	Professional		$79.43	$446.68	$616.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,230.27 / $1,621.81	Facility		$724.44	$1,230.27	$1,621.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $346.74 / $489.78	Professional		$331.13	$346.74	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $660.69	Facility		$489.78	$489.78	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $190.55 / $489.78	Professional		$173.78	$190.55	$489.78