Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.10 / $949.10 / $1,656.13	Facility		$949.10	$949.10	$1,656.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.12 / $323.61 / $342.65	Professional		$274.12	$323.61	$342.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $618.67 / $952.76 / $1,106.19	Facility		$618.67	$952.76	$1,106.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.61 / $437.37 / $546.71	Professional		$380.61	$437.37	$546.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.72 / $928.42 / $1,001.71	Professional		$380.72	$928.42	$1,001.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $228.43 / $380.72 / $794.00	Facility		$228.43	$380.72	$794.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.72 / $380.72 / $513.97	Professional		$380.72	$380.72	$513.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $380.72 / $430.21 / $666.26	Facility		$380.72	$430.21	$666.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $228.43 / $437.83 / $952.76	Facility		$228.43	$437.83	$952.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $361.68 / $418.79 / $533.01	Professional		$361.68	$418.79	$533.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $742.40 / $1,158.53 / $1,494.59	Facility		$742.40	$1,158.53	$1,494.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $340.94 / $454.58 / $938.65	Professional		$340.94	$454.58	$938.65
United Facility/Professional Professional Modifier Low / Median / High Price $159.90 / $159.90 / $456.86	Professional		$159.90	$159.90	$456.86