Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $933.25 / $1,230.27	Facility		$512.86	$933.25	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $630.96	Professional		$218.78	$288.40	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $741.31	Professional		$331.13	$501.19	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $831.76 / $1,000.00	Professional		$478.63	$831.76	$1,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $537.03 / $1,148.15	Facility		$239.88	$537.03	$1,148.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $794.33 / $1,445.44	Professional		$302.00	$794.33	$1,445.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $436.52 / $457.09	Facility		$371.54	$436.52	$457.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $457.09 / $707.95	Facility		$147.91	$457.09	$707.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $380.19 / $645.65	Professional		$79.43	$380.19	$645.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $851.14 / $1,071.52	Facility		$660.69	$851.14	$1,071.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $645.65	Professional		$426.58	$512.86	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $2,754.23	Facility		$1,659.59	$2,089.30	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $741.31	Professional		$223.87	$331.13	$741.31