Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.84 / $765.41 / $1,478.04	Facility		$659.84	$765.41	$1,478.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.62 / $448.69 / $1,029.34	Professional		$322.62	$448.69	$1,029.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $857.80 / $885.22 / $1,533.75	Facility		$857.80	$885.22	$1,533.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.20 / $582.27 / $946.98	Professional		$525.20	$582.27	$946.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $527.87 / $1,159.06 / $1,388.96	Professional		$527.87	$1,159.06	$1,388.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $395.90 / $554.26 / $1,161.31	Facility		$395.90	$554.26	$1,161.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $527.87 / $527.87 / $712.62	Professional		$527.87	$527.87	$712.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $527.87 / $554.26 / $1,165.27	Facility		$527.87	$554.26	$1,165.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $554.26 / $667.76 / $1,282.34	Facility		$554.26	$667.76	$1,282.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $546.86 / $607.04 / $760.13	Professional		$546.86	$607.04	$760.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,029.34 / $1,606.31 / $2,072.36	Facility		$1,029.34	$1,606.31	$2,072.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $932.46 / $1,037.76 / $1,660.52	Professional		$932.46	$1,037.76	$1,660.52
United Facility/Professional Professional Modifier Low / Median / High Price $221.71 / $221.71 / $527.87	Professional		$221.71	$221.71	$527.87