Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,344.23 / $2,344.23	Facility		$512.86	$2,344.23	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $398.11 / $630.96	Professional		$346.74	$398.11	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,513.56	Facility		$851.14	$851.14	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $602.56 / $758.58	Professional		$524.81	$602.56	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,148.15 / $1,348.96	Professional		$524.81	$1,148.15	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $575.44 / $707.95	Professional		$524.81	$575.44	$707.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $575.44 / $812.83	Facility		$478.63	$575.44	$812.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $724.44 / $1,513.56	Facility		$512.86	$724.44	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $549.54 / $724.44	Professional		$79.43	$549.54	$724.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,548.82 / $2,089.30	Facility		$794.33	$1,548.82	$2,089.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $630.96	Professional		$398.11	$478.63	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $851.14	Facility		$630.96	$630.96	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $630.96	Professional		$218.78	$218.78	$630.96