Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,691.53 / $2,754.23	Facility		$588.84	$2,691.53	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $758.58	Professional		$380.19	$467.74	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,778.28	Facility		$977.24	$977.24	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,318.26 / $1,584.89	Professional		$602.56	$1,318.26	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $676.08 / $851.14	Professional		$588.84	$676.08	$851.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $851.14	Facility		$602.56	$602.56	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $812.83 / $1,584.89	Facility		$426.58	$812.83	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $676.08 / $851.14	Professional		$79.43	$676.08	$851.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,819.70 / $2,398.83	Facility		$912.01	$1,819.70	$2,398.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $512.86 / $724.44	Professional		$489.78	$512.86	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $977.24	Facility		$724.44	$724.44	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $724.44	Professional		$257.04	$257.04	$724.44