Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $933.25 / $2,238.72	Facility		$630.96	$933.25	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $1,000.00	Professional		$371.54	$478.63	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,202.26 / $1,445.44	Facility		$812.83	$1,202.26	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $1,737.80	Professional		$436.52	$676.08	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,071.52 / $1,318.26	Professional		$501.19	$1,071.52	$1,318.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $676.08	Facility		$501.19	$501.19	$676.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $549.54 / $691.83	Professional		$501.19	$549.54	$691.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $1,047.13	Facility		$501.19	$501.19	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $691.83 / $1,445.44	Facility		$446.68	$691.83	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $549.54 / $891.25	Professional		$251.19	$549.54	$891.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,479.11 / $1,949.84	Facility		$741.31	$1,479.11	$1,949.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $426.58 / $602.56	Professional		$398.11	$426.58	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $794.33	Facility		$602.56	$602.56	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $602.56	Professional		$208.93	$208.93	$602.56