Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,698.24 / $1,698.24	Facility		$371.54	$1,698.24	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $295.12 / $478.63	Professional		$251.19	$295.12	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $1,096.48	Facility		$616.60	$616.60	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $812.83 / $1,000.00	Professional		$380.19	$812.83	$1,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $380.19 / $524.81	Facility		$371.54	$380.19	$524.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $416.87 / $537.03	Professional		$354.81	$416.87	$537.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $416.87 / $588.84	Facility		$338.84	$416.87	$588.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $537.03 / $1,096.48	Facility		$338.84	$537.03	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $416.87 / $537.03	Professional		$79.43	$416.87	$537.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,148.15 / $1,513.56	Facility		$660.69	$1,148.15	$1,513.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $323.59 / $457.09	Professional		$302.00	$323.59	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $602.56	Facility		$457.09	$457.09	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $457.09	Professional		$158.49	$158.49	$457.09