Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,162.28 / $3,235.94	Facility		$691.83	$3,162.28	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $537.03 / $891.25	Professional		$467.74	$537.03	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $2,089.30	Facility		$1,148.15	$1,148.15	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $812.83 / $1,023.29	Professional		$707.95	$812.83	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,548.82 / $1,819.70	Professional		$707.95	$1,548.82	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $776.25 / $977.24	Professional		$707.95	$776.25	$977.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,000.00	Facility		$707.95	$707.95	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $851.14 / $1,905.46	Facility		$426.58	$851.14	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $776.25 / $977.24	Professional		$79.43	$776.25	$977.24
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 / $645.65 / $851.14	Professional		$537.03	$645.65	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,148.15	Facility		$851.14	$851.14	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $851.14	Professional		$302.00	$302.00	$851.14