Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $974.11 / $974.11 / $1,699.76	Facility		$974.11	$974.11	$1,699.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.33 / $379.03 / $379.03	Professional		$281.33	$379.03	$379.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $634.98 / $977.86 / $1,135.33	Facility		$634.98	$977.86	$1,135.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.64 / $448.93 / $561.16	Professional		$390.64	$448.93	$561.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $390.75 / $952.88 / $1,028.08	Professional		$390.75	$952.88	$1,028.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.45 / $390.75 / $814.91	Facility		$234.45	$390.75	$814.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $390.75 / $390.75 / $527.51	Professional		$390.75	$390.75	$527.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $390.75 / $429.83 / $683.81	Facility		$390.75	$429.83	$683.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.45 / $416.93 / $814.91	Facility		$234.45	$416.93	$814.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.21 / $429.83 / $547.04	Professional		$371.21	$429.83	$547.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $781.50 / $1,265.25 / $1,533.97	Facility		$781.50	$1,265.25	$1,533.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $349.91 / $466.55 / $963.27	Professional		$349.91	$466.55	$963.27
United Facility/Professional Professional Modifier Low / Median / High Price $164.12 / $164.12 / $468.90	Professional		$164.12	$164.12	$468.90