Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,202.26 / $7,943.28	Facility		$891.25	$1,202.26	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $1,174.90	Professional		$398.11	$478.63	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $794.33 / $1,258.93	Professional		$446.68	$794.33	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $1,122.02	Professional		$741.31	$977.24	$1,122.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $660.69 / $1,096.48	Facility		$446.68	$660.69	$1,096.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $1,174.90	Professional		$630.96	$758.58	$1,174.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $794.33 / $933.25	Facility		$562.34	$794.33	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $645.65 / $977.24	Facility		$436.52	$645.65	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $812.83 / $1,202.26	Professional		$79.43	$812.83	$1,202.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $741.31 / $891.25	Facility		$562.34	$741.31	$891.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,288.25	Professional		$691.83	$933.25	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,202.26 / $6,165.95	Facility		$389.05	$1,202.26	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $794.33 / $1,174.90	Professional		$537.03	$794.33	$1,174.90