Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $844.25 / $979.33 / $1,891.12	Facility		$844.25	$979.33	$1,891.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.29 / $650.00 / $1,013.09	Professional		$486.29	$650.00	$1,013.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,097.53 / $1,690.19 / $1,962.37	Facility		$1,097.53	$1,690.19	$1,962.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.44 / $744.96 / $1,211.93	Professional		$592.44	$744.96	$1,211.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $675.40 / $1,482.93 / $1,777.04	Professional		$675.40	$1,482.93	$1,777.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $506.55 / $709.17 / $1,485.88	Facility		$506.55	$709.17	$1,485.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $675.40 / $675.40 / $911.79	Professional		$675.40	$675.40	$911.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $675.40 / $709.17 / $1,490.95	Facility		$675.40	$709.17	$1,490.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $709.17 / $854.38 / $1,690.19	Facility		$709.17	$854.38	$1,690.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $709.79 / $776.71 / $972.58	Professional		$709.79	$776.71	$972.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,317.03 / $2,055.23 / $2,790.35	Facility		$1,317.03	$2,055.23	$2,790.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,192.81 / $1,328.34 / $2,124.14	Professional		$1,192.81	$1,328.34	$2,124.14
United Facility/Professional Professional Modifier Low / Median / High Price $271.42 / $283.67 / $810.48	Professional		$271.42	$283.67	$810.48