Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,584.89 / $1,621.81	Facility		$346.74	$1,584.89	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $346.74	Professional		$3.98	$3.98	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $1,047.13	Facility		$575.44	$575.44	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $407.38 / $512.86	Professional		$354.81	$407.38	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $776.25 / $912.01	Professional		$354.81	$776.25	$912.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $389.05 / $489.78	Professional		$354.81	$389.05	$489.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $389.05 / $562.34	Facility		$323.59	$389.05	$562.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $501.19 / $1,047.13	Facility		$346.74	$501.19	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $371.54 / $489.78	Professional		$79.43	$371.54	$489.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,047.13 / $1,412.54	Facility		$537.03	$1,047.13	$1,412.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $323.59 / $426.58	Professional		$269.15	$323.59	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $575.44	Facility		$426.58	$426.58	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $426.58	Professional		$151.36	$151.36	$426.58