Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.85 / $751.51 / $1,451.18	Facility		$647.85	$751.51	$1,451.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.16 / $440.54 / $751.51	Professional		$373.16	$440.54	$751.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.20 / $842.20 / $1,505.85	Facility		$842.20	$842.20	$1,505.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.02 / $563.46 / $935.03	Professional		$243.02	$563.46	$935.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $518.28 / $1,137.77 / $1,363.41	Professional		$518.28	$1,137.77	$1,363.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $388.71 / $544.19 / $1,140.22	Facility		$388.71	$544.19	$1,140.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $518.28 / $518.28 / $699.68	Professional		$518.28	$518.28	$699.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $518.28 / $570.11 / $777.42	Facility		$518.28	$570.11	$777.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $544.19 / $655.62 / $1,310.57	Facility		$544.19	$655.62	$1,310.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $563.46 / $596.02 / $746.32	Professional		$563.46	$596.02	$746.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,010.65 / $1,577.13 / $2,141.21	Facility		$1,010.65	$1,577.13	$2,141.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $915.11 / $1,012.32 / $1,629.61	Professional		$915.11	$1,012.32	$1,629.61
United Facility/Professional Professional Modifier Low / Median / High Price $217.68 / $217.68 / $544.19	Professional		$217.68	$217.68	$544.19