Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $845.63 / $980.93 / $1,894.20	Facility		$845.63	$980.93	$1,894.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.61 / $600.97 / $1,319.18	Professional		$500.61	$600.97	$1,319.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,099.33 / $1,692.96 / $1,965.59	Facility		$1,099.33	$1,692.96	$1,965.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.12 / $745.21 / $1,236.63	Professional		$329.12	$745.21	$1,236.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.50 / $1,485.07 / $1,779.59	Professional		$676.50	$1,485.07	$1,779.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $507.38 / $710.33 / $1,488.30	Facility		$507.38	$710.33	$1,488.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.50 / $676.50 / $913.28	Professional		$676.50	$676.50	$913.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.50 / $676.50 / $1,280.60	Facility		$676.50	$676.50	$1,280.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $710.33 / $855.77 / $1,718.10	Facility		$710.33	$855.77	$1,718.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $742.37 / $777.98 / $989.83	Professional		$742.37	$777.98	$989.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,319.18 / $2,058.59 / $2,794.89	Facility		$1,319.18	$2,058.59	$2,794.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,194.60 / $1,330.38 / $2,127.34	Professional		$1,194.60	$1,330.38	$2,127.34
United Facility/Professional Professional Modifier Low / Median / High Price $284.13 / $284.13 / $811.80	Professional		$284.13	$284.13	$811.80