Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.00 / $678.60 / $1,310.40	Facility		$585.00	$678.60	$1,310.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.96 / $453.96 / $1,500.00	Professional		$336.96	$453.96	$1,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $760.50 / $760.50 / $1,359.77	Facility		$760.50	$760.50	$1,359.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.92 / $497.40 / $839.48	Professional		$217.92	$497.40	$839.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $1,027.68 / $1,231.50	Professional		$468.00	$1,027.68	$1,231.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $351.00 / $491.40 / $1,029.59	Facility		$351.00	$491.40	$1,029.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $468.00 / $631.79	Professional		$468.00	$468.00	$631.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $468.00 / $468.00 / $885.92	Facility		$468.00	$468.00	$885.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $491.40 / $592.02 / $1,136.27	Facility		$491.40	$592.02	$1,136.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $492.89 / $538.20 / $673.92	Professional		$492.89	$538.20	$673.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $912.60 / $1,424.12 / $1,933.50	Facility		$912.60	$1,424.12	$1,933.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $826.53 / $920.04 / $1,471.87	Professional		$826.53	$920.04	$1,471.87
United Facility/Professional Professional Modifier Low / Median / High Price $196.56 / $196.56 / $491.40	Professional		$196.56	$196.56	$491.40