Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.64 / $653.82 / $1,262.55	Facility		$563.64	$653.82	$1,262.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.97 / $383.27 / $879.27	Professional		$204.97	$383.27	$879.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $732.73 / $1,128.40 / $1,310.10	Facility		$732.73	$1,128.40	$1,310.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.37 / $497.35 / $808.93	Professional		$395.37	$497.35	$808.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $450.91 / $990.05 / $1,186.39	Professional		$450.91	$990.05	$1,186.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.18 / $473.46 / $992.00	Facility		$338.18	$473.46	$992.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $450.91 / $450.91 / $631.27	Professional		$450.91	$450.91	$631.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $450.91 / $473.46 / $995.38	Facility		$450.91	$473.46	$995.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $473.46 / $570.40 / $1,128.40	Facility		$473.46	$570.40	$1,128.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $475.43 / $518.54 / $649.30	Professional		$475.43	$518.54	$649.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $879.27 / $1,372.12 / $1,862.89	Facility		$879.27	$1,372.12	$1,862.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $796.60 / $886.69 / $1,418.58	Professional		$796.60	$886.69	$1,418.58
United Facility/Professional Professional Modifier Low / Median / High Price $189.19 / $189.38 / $473.46	Professional		$189.19	$189.38	$473.46