Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $676.08 / $1,949.84	Facility		$549.54	$676.08	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $407.38 / $794.33	Professional		$323.59	$407.38	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,258.93	Facility		$707.95	$707.95	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $478.63 / $776.25	Professional		$63.10	$478.63	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $933.25 / $1,148.15	Professional		$436.52	$933.25	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $512.86	Facility		$436.52	$436.52	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $602.56	Professional		$436.52	$436.52	$602.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $831.76	Facility		$436.52	$436.52	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $602.56 / $1,258.93	Facility		$389.05	$602.56	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $478.63 / $660.69	Professional		$79.43	$478.63	$660.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,288.25 / $1,698.24	Facility		$645.65	$1,288.25	$1,698.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $371.54 / $524.81	Professional		$346.74	$371.54	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $691.83	Facility		$524.81	$524.81	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $524.81	Professional		$181.97	$181.97	$524.81