Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,187.76 / $2,187.76	Facility		$467.74	$2,187.76	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $616.60	Professional		$302.00	$371.54	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $1,412.54	Facility		$794.33	$794.33	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,047.13 / $1,288.25	Professional		$489.78	$1,047.13	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $537.03 / $676.08	Professional		$467.74	$537.03	$676.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $724.44	Facility		$489.78	$489.78	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $660.69 / $1,230.27	Facility		$363.08	$660.69	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $537.03 / $676.08	Professional		$79.43	$537.03	$676.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,412.54 / $1,905.46	Facility		$724.44	$1,412.54	$1,905.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $416.87 / $588.84	Professional		$389.05	$416.87	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $776.25	Facility		$588.84	$588.84	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $588.84	Professional		$204.17	$204.17	$588.84