Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,023.29 / $6,606.93	Facility		$562.34	$1,023.29	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $416.87 / $1,047.13	Professional		$338.84	$416.87	$1,047.13
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 $389.05 / $676.08 / $1,071.52	Professional		$389.05	$676.08	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,071.52	Professional		$691.83	$870.96	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $562.34 / $891.25	Facility		$371.54	$562.34	$891.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $676.08 / $1,023.29	Professional		$549.54	$676.08	$1,023.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $724.44 / $812.83	Facility		$524.81	$724.44	$812.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $562.34 / $851.14	Facility		$354.81	$562.34	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $724.44 / $1,023.29	Professional		$79.43	$724.44	$1,023.29
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 $575.44 / $794.33 / $1,096.48	Professional		$575.44	$794.33	$1,096.48
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 $467.74 / $707.95 / $1,023.29	Professional		$467.74	$707.95	$1,023.29