Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,290.87 / $2,290.87	Facility		$489.78	$2,290.87	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $389.05 / $616.60	Professional		$338.84	$389.05	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,479.11	Facility		$831.76	$831.76	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $588.84 / $741.31	Professional		$512.86	$588.84	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,096.48 / $1,318.26	Professional		$512.86	$1,096.48	$1,318.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $562.34 / $691.83	Professional		$512.86	$562.34	$691.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $707.95	Facility		$512.86	$512.86	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $616.60 / $1,348.96	Facility		$309.03	$616.60	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $537.03 / $645.65	Professional		$79.43	$537.03	$645.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $616.60	Professional		$380.19	$467.74	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $616.60	Professional		$213.80	$213.80	$616.60