Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,258.93 / $6,606.93	Facility		$691.83	$1,258.93	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $524.81 / $1,318.26	Professional		$436.52	$524.81	$1,318.26
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 $512.86 / $870.96 / $1,318.26	Professional		$512.86	$870.96	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,318.26	Professional		$891.25	$1,122.02	$1,318.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $741.31 / $1,148.15	Facility		$478.63	$741.31	$1,148.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,288.25	Professional		$741.31	$870.96	$1,288.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $912.01 / $1,000.00	Facility		$660.69	$912.01	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $741.31 / $1,096.48	Facility		$478.63	$741.31	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $933.25 / $1,318.26	Professional		$79.43	$933.25	$1,318.26
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 $831.76 / $1,000.00 / $1,380.38	Professional		$831.76	$1,000.00	$1,380.38
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 $630.96 / $912.01 / $1,288.25	Professional		$630.96	$912.01	$1,288.25