Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $891.25 / $2,630.27	Facility		$724.44	$891.25	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $562.34 / $891.25	Professional		$407.38	$562.34	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,513.56 / $2,041.74	Facility		$933.25	$1,513.56	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $575.44 / $1,047.13	Professional		$354.81	$575.44	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,258.93 / $1,479.11	Professional		$575.44	$1,258.93	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $724.44	Facility		$575.44	$575.44	$724.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $977.24	Professional		$575.44	$724.44	$977.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $1,096.48	Facility		$575.44	$575.44	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $831.76 / $2,041.74	Facility		$562.34	$831.76	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $645.65 / $1,047.13	Professional		$79.43	$645.65	$1,047.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,737.80 / $2,398.83	Facility		$870.96	$1,737.80	$2,398.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $741.31	Professional		$436.52	$575.44	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $933.25	Facility		$691.83	$691.83	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $812.83	Professional		$245.47	$331.13	$812.83