Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,235.94 / $3,235.94	Facility		$707.95	$3,235.94	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $912.01	Professional		$446.68	$549.54	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $2,089.30	Facility		$1,174.90	$1,174.90	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,548.82 / $1,905.46	Professional		$724.44	$1,548.82	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $794.33 / $1,023.29	Professional		$707.95	$794.33	$1,023.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $1,023.29	Facility		$724.44	$724.44	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $977.24 / $1,862.09	Facility		$537.03	$977.24	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $794.33 / $1,023.29	Professional		$79.43	$794.33	$1,023.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,137.96 / $2,818.38	Facility		$1,096.48	$2,137.96	$2,818.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $616.60 / $870.96	Professional		$575.44	$616.60	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $1,148.15	Facility		$870.96	$870.96	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $870.96	Professional		$302.00	$302.00	$870.96