Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,737.80 / $1,778.28	Facility		$380.19	$1,737.80	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $295.12 / $489.78	Professional		$257.04	$295.12	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $1,148.15	Facility		$630.96	$630.96	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $446.68 / $562.34	Professional		$389.05	$446.68	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $851.14 / $1,000.00	Professional		$389.05	$851.14	$1,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $426.58 / $537.03	Professional		$389.05	$426.58	$537.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $549.54	Facility		$389.05	$389.05	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $467.74 / $1,047.13	Facility		$234.42	$467.74	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $426.58 / $537.03	Professional		$79.43	$426.58	$537.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,174.90 / $1,548.82	Facility		$588.84	$1,174.90	$1,548.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $354.81 / $467.74	Professional		$295.12	$354.81	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $630.96	Facility		$467.74	$467.74	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $467.74	Professional		$165.96	$165.96	$467.74