Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $812.83 / $2,398.83	Facility		$660.69	$812.83	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $954.99	Professional		$323.59	$436.52	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $891.25 / $1,548.82	Facility		$851.14	$891.25	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $588.84 / $954.99	Professional		$467.74	$588.84	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,122.02 / $1,380.38	Professional		$524.81	$1,122.02	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $602.56	Facility		$524.81	$524.81	$602.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $524.81 / $741.31	Professional		$512.86	$524.81	$741.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $1,096.48	Facility		$524.81	$524.81	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $741.31 / $1,548.82	Facility		$398.11	$741.31	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $575.44 / $758.58	Professional		$269.15	$575.44	$758.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,548.82 / $2,089.30	Facility		$794.33	$1,548.82	$2,089.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $446.68 / $630.96	Professional		$426.58	$446.68	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $851.14	Facility		$630.96	$630.96	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $630.96	Professional		$223.87	$223.87	$630.96