Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.38 / $840.25 / $1,622.54	Facility		$695.38	$840.25	$1,622.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.10 / $562.10 / $3,144.63	Professional		$562.10	$562.10	$3,144.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $941.65 / $1,525.47 / $2,064.27	Facility		$941.65	$1,525.47	$2,064.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $388.94 / $665.76 / $1,039.80	Professional		$388.94	$665.76	$1,039.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $579.48 / $1,412.75 / $1,524.28	Professional		$579.48	$1,412.75	$1,524.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.10 / $727.25 / $2,086.62	Facility		$562.10	$727.25	$2,086.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $579.48 / $695.38 / $954.07	Professional		$579.48	$695.38	$954.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $579.48 / $756.00 / $1,279.20	Facility		$579.48	$756.00	$1,279.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $579.48 / $727.25 / $1,680.49	Facility		$579.48	$727.25	$1,680.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $579.48 / $695.38 / $948.86	Professional		$579.48	$695.38	$948.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,129.99 / $1,788.58 / $2,394.06	Facility		$1,129.99	$1,788.58	$2,394.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $518.79 / $738.83 / $1,428.49	Professional		$518.79	$738.83	$1,428.49
United Facility/Professional Professional Modifier Low / Median / High Price $243.38 / $331.27 / $695.38	Professional		$243.38	$331.27	$695.38