Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,691.53 / $2,691.53	Facility		$575.44	$2,691.53	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $457.09 / $724.44	Professional		$204.17	$457.09	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,737.80	Facility		$977.24	$977.24	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,288.25 / $1,584.89	Professional		$602.56	$1,288.25	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $602.56 / $831.76	Facility		$575.44	$602.56	$831.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $831.76	Professional		$489.78	$724.44	$831.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $660.69 / $933.25	Facility		$537.03	$660.69	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $831.76 / $1,584.89	Facility		$446.68	$831.76	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $602.56 / $831.76	Professional		$79.43	$602.56	$831.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,318.26 / $2,187.76	Facility		$891.25	$1,318.26	$2,187.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $512.86 / $724.44	Professional		$467.74	$512.86	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $954.99	Facility		$724.44	$724.44	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $363.08	Professional		$125.89	$125.89	$363.08