Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $3,548.13 / $3,548.13	Facility		$776.25	$3,548.13	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $602.56 / $954.99	Professional		$524.81	$602.56	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $2,290.87	Facility		$1,288.25	$1,288.25	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $912.01 / $1,148.15	Professional		$794.33	$912.01	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,698.24 / $2,041.74	Professional		$794.33	$1,698.24	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $870.96 / $1,071.52	Professional		$794.33	$870.96	$1,071.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $1,096.48	Facility		$794.33	$794.33	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $954.99 / $2,290.87	Facility		$776.25	$954.99	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $870.96 / $1,096.48	Professional		$79.43	$870.96	$1,096.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $3,090.30	Facility		$1,174.90	$1,380.38	$3,090.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $954.99	Professional		$588.84	$724.44	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $954.99	Professional		$331.13	$331.13	$954.99