Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,467.37 / $3,467.37	Facility		$741.31	$3,467.37	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $588.84 / $933.25	Professional		$512.86	$588.84	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $2,238.72	Facility		$1,258.93	$1,258.93	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $891.25 / $1,096.48	Professional		$776.25	$891.25	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,659.59 / $1,995.26	Professional		$776.25	$1,659.59	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $891.25 / $1,047.13	Professional		$776.25	$891.25	$1,047.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $851.14 / $1,202.26	Facility		$691.83	$851.14	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,071.52 / $2,238.72	Facility		$741.31	$1,071.52	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $812.83 / $1,071.52	Professional		$79.43	$812.83	$1,071.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,290.87 / $3,019.95	Facility		$1,148.15	$2,290.87	$3,019.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $933.25	Professional		$575.44	$707.95	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,230.27	Facility		$933.25	$933.25	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $933.25	Professional		$323.59	$323.59	$933.25