Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,344.23 / $2,398.83	Facility		$512.86	$2,344.23	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $407.38 / $630.96	Professional		$346.74	$407.38	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,548.82	Facility		$851.14	$851.14	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,122.02 / $1,380.38	Professional		$524.81	$1,122.02	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $524.81 / $724.44	Facility		$512.86	$524.81	$724.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $575.44 / $741.31	Professional		$512.86	$575.44	$741.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $741.31	Facility		$524.81	$524.81	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $707.95 / $1,348.96	Facility		$389.05	$707.95	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $575.44 / $741.31	Professional		$79.43	$575.44	$741.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,548.82 / $2,089.30	Facility		$794.33	$1,548.82	$2,089.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $446.68 / $630.96	Professional		$426.58	$446.68	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $851.14	Facility		$630.96	$630.96	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $630.96	Professional		$223.87	$223.87	$630.96