Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.87 / $803.87 / $882.10	Facility		$803.87	$803.87	$882.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.08 / $550.00 / $1,320.50	Professional		$301.08	$550.00	$1,320.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.44 / $393.70 / $848.39	Facility		$306.44	$393.70	$848.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.74 / $728.54 / $1,123.61	Professional		$380.74	$728.54	$1,123.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $653.54 / $776.99 / $900.70	Professional		$653.54	$776.99	$900.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $368.69 / $678.92 / $1,295.33	Facility		$368.69	$678.92	$1,295.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $557.76 / $753.29 / $1,080.09	Professional		$557.76	$753.29	$1,080.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $544.90 / $707.52 / $1,015.74	Facility		$544.90	$707.52	$1,015.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $460.34 / $881.17 / $1,267.15	Facility		$460.34	$881.17	$1,267.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $578.57 / $827.28 / $1,051.54	Professional		$578.57	$827.28	$1,051.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $642.19 / $835.47 / $1,032.86	Professional		$642.19	$835.47	$1,032.86
United Facility/Professional Professional Modifier Low / Median / High Price $341.43 / $538.60 / $1,141.56	Professional		$341.43	$538.60	$1,141.56