Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.85 / $807.07 / $1,558.48	Facility		$664.85	$807.07	$1,558.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.56 / $539.54 / $816.46	Professional		$238.56	$539.54	$816.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $904.48 / $904.48 / $1,617.20	Facility		$904.48	$904.48	$1,617.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.09 / $614.02 / $998.68	Professional		$488.09	$614.02	$998.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $556.60 / $1,222.28 / $1,464.70	Professional		$556.60	$1,222.28	$1,464.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $417.45 / $584.42 / $1,224.52	Facility		$417.45	$584.42	$1,224.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $556.60 / $556.60 / $751.41	Professional		$556.60	$556.60	$751.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $556.60 / $584.42 / $1,228.69	Facility		$556.60	$584.42	$1,228.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $584.42 / $704.10 / $1,352.07	Facility		$584.42	$704.10	$1,352.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $591.61 / $667.92 / $1,092.16	Professional		$591.61	$667.92	$1,092.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,085.36 / $1,693.73 / $2,185.16	Facility		$1,085.36	$1,693.73	$2,185.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $983.34 / $1,094.24 / $1,751.11	Professional		$983.34	$1,094.24	$1,751.11
United Facility/Professional Professional Modifier Low / Median / High Price $233.77 / $233.77 / $584.42	Professional		$233.77	$233.77	$584.42