Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.75 / $723.55 / $1,397.20	Facility		$623.75	$723.55	$1,397.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.28 / $546.44 / $1,104.51	Professional		$359.28	$546.44	$1,104.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $810.88 / $1,204.53 / $1,449.84	Facility		$810.88	$1,204.53	$1,449.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.90 / $573.87 / $979.09	Professional		$525.90	$573.87	$979.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $499.00 / $1,095.86 / $1,313.20	Professional		$499.00	$1,095.86	$1,313.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $374.25 / $523.95 / $1,097.80	Facility		$374.25	$523.95	$1,097.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $499.00 / $499.00 / $673.65	Professional		$499.00	$499.00	$673.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $499.00 / $523.95 / $1,101.54	Facility		$499.00	$523.95	$1,101.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $523.95 / $631.24 / $1,212.63	Facility		$523.95	$631.24	$1,212.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $548.90 / $598.79 / $979.09	Professional		$548.90	$598.79	$979.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $973.05 / $1,518.46 / $1,959.02	Facility		$973.05	$1,518.46	$1,959.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $881.59 / $981.28 / $1,569.92	Professional		$881.59	$981.28	$1,569.92
United Facility/Professional Professional Modifier Low / Median / High Price $209.58 / $209.58 / $598.79	Professional		$209.58	$209.58	$598.79