Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $933.25 / $2,691.53	Facility		$758.58	$933.25	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $1,000.00	Professional		$302.00	$478.63	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $1,737.80	Facility		$977.24	$1,548.82	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $645.65 / $1,071.52	Professional		$275.42	$645.65	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,288.25 / $1,584.89	Professional		$602.56	$1,288.25	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $602.56 / $831.76	Professional		$575.44	$602.56	$831.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $891.25	Facility		$602.56	$602.56	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $831.76 / $1,737.80	Facility		$537.03	$831.76	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $660.69 / $870.96	Professional		$338.84	$660.69	$870.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,819.70 / $2,454.71	Facility		$891.25	$1,819.70	$2,454.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $512.86 / $724.44	Professional		$478.63	$512.86	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $954.99	Facility		$724.44	$724.44	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $724.44	Professional		$251.19	$251.19	$724.44