Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $730.29 / $847.13 / $1,635.84	Facility		$730.29	$847.13	$1,635.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.65 / $496.60 / $1,139.25	Professional		$420.65	$496.60	$1,139.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $949.38 / $949.38 / $1,697.48	Facility		$949.38	$949.38	$1,697.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.94 / $620.91 / $1,048.02	Professional		$271.94	$620.91	$1,048.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $584.23 / $1,282.65 / $1,537.05	Professional		$584.23	$1,282.65	$1,537.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $438.17 / $613.44 / $1,285.31	Facility		$438.17	$613.44	$1,285.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $584.23 / $584.23 / $788.71	Professional		$584.23	$584.23	$788.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $584.23 / $584.23 / $1,105.95	Facility		$584.23	$584.23	$1,105.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $613.44 / $739.05 / $1,418.47	Facility		$613.44	$739.05	$1,418.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $615.07 / $671.86 / $841.29	Professional		$615.07	$671.86	$841.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,139.25 / $1,777.81 / $2,413.69	Facility		$1,139.25	$1,777.81	$2,413.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,031.81 / $1,148.68 / $1,837.44	Professional		$1,031.81	$1,148.68	$1,837.44
United Facility/Professional Professional Modifier Low / Median / High Price $245.38 / $245.38 / $613.44	Professional		$245.38	$245.38	$613.44