Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.84 / $630.85 / $1,218.20	Facility		$543.84	$630.85	$1,218.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.25 / $422.02 / $848.39	Professional		$313.25	$422.02	$848.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.00 / $707.00 / $1,264.11	Facility		$707.00	$707.00	$1,264.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.60 / $479.87 / $780.73	Professional		$381.60	$479.87	$780.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $435.07 / $955.24 / $1,144.69	Professional		$435.07	$955.24	$1,144.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $326.30 / $456.82 / $957.15	Facility		$326.30	$456.82	$957.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $435.07 / $435.07 / $587.34	Professional		$435.07	$435.07	$587.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $435.07 / $456.82 / $960.42	Facility		$435.07	$456.82	$960.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $456.82 / $550.36 / $1,057.42	Facility		$456.82	$550.36	$1,057.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $462.53 / $522.08 / $834.52	Professional		$462.53	$522.08	$834.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $848.39 / $1,323.92 / $1,708.04	Facility		$848.39	$1,323.92	$1,708.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $768.47 / $855.39 / $1,368.49	Professional		$768.47	$855.39	$1,368.49
United Facility/Professional Professional Modifier Low / Median / High Price $182.73 / $182.73 / $456.82	Professional		$182.73	$182.73	$456.82