Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.30 / $947.30 / $1,653.00	Facility		$947.30	$947.30	$1,653.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.20 / $357.20 / $722.00	Professional		$357.20	$357.20	$722.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $617.50 / $617.50 / $1,104.08	Facility		$617.50	$617.50	$1,104.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $304.00 / $304.00	Professional		$304.00	$304.00	$304.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $834.50 / $1,000.02	Professional		$380.00	$834.50	$1,000.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $285.00 / $368.60 / $836.00	Facility		$285.00	$368.60	$836.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $380.00 / $513.00	Professional		$380.00	$380.00	$513.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $380.00 / $425.60 / $665.00	Facility		$380.00	$425.60	$665.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $368.60 / $503.50 / $925.45	Facility		$368.60	$503.50	$925.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $418.00 / $418.00 / $532.00	Professional		$418.00	$418.00	$532.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $1,156.33 / $1,491.84	Facility		$760.00	$1,156.33	$1,491.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $607.02 / $747.19 / $1,194.76	Professional		$607.02	$747.19	$1,194.76
United Facility/Professional Professional Modifier Low / Median / High Price $159.60 / $159.60 / $399.00	Professional		$159.60	$159.60	$399.00