Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,235.94 / $3,235.94	Facility		$691.83	$3,235.94	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $549.54 / $870.96	Professional		$467.74	$549.54	$870.96
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $831.76 / $1,023.29	Professional		$724.44	$831.76	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,548.82 / $1,862.09	Professional		$724.44	$1,548.82	$1,862.09
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 $724.44 / $794.33 / $977.24	Professional		$724.44	$794.33	$977.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $1,000.00	Facility		$724.44	$724.44	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $870.96 / $1,905.46	Facility		$436.52	$870.96	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $758.58 / $891.25	Professional		$79.43	$758.58	$891.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,137.96 / $2,818.38	Facility		$1,071.52	$2,137.96	$2,818.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $870.96	Professional		$537.03	$660.69	$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