Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,819.70 / $1,819.70	Facility		$398.11	$1,819.70	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $309.03 / $398.11	Professional		$107.15	$309.03	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $1,174.90	Facility		$660.69	$660.69	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
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 $302.00 / $489.78 / $575.44	Professional		$302.00	$489.78	$575.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $446.68 / $630.96	Facility		$363.08	$446.68	$630.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $562.34 / $1,071.52	Facility		$309.03	$562.34	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $446.68 / $575.44	Professional		$79.43	$446.68	$575.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,202.26 / $1,584.89	Facility		$616.60	$1,202.26	$1,584.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $346.74 / $489.78	Professional		$323.59	$346.74	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $645.65	Facility		$489.78	$489.78	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $245.47	Professional		$69.18	$69.18	$245.47