Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,630.27 / $2,630.27	Facility		$562.34	$2,630.27	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $707.95	Professional		$380.19	$457.09	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,698.24	Facility		$954.99	$954.99	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,258.93 / $1,548.82	Professional		$588.84	$1,258.93	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $588.84 / $794.33	Facility		$562.34	$588.84	$794.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $645.65 / $812.83	Professional		$562.34	$645.65	$812.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $812.83	Facility		$588.84	$588.84	$812.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $794.33 / $1,479.11	Facility		$436.52	$794.33	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $645.65 / $812.83	Professional		$79.43	$645.65	$812.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,698.24 / $2,290.87	Facility		$870.96	$1,698.24	$2,290.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $501.19 / $707.95	Professional		$467.74	$501.19	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $933.25	Facility		$707.95	$707.95	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $707.95	Professional		$245.47	$245.47	$707.95