Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,174.90 / $3,388.44	Facility		$954.99	$1,174.90	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $645.65 / $1,380.38	Professional		$501.19	$645.65	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $2,187.76	Facility		$1,230.27	$1,230.27	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $831.76 / $1,348.96	Professional		$446.68	$831.76	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,621.81 / $1,995.26	Professional		$758.58	$1,621.81	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $870.96	Facility		$758.58	$758.58	$870.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,071.52	Professional		$758.58	$758.58	$1,071.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,445.44	Facility		$758.58	$758.58	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,047.13 / $2,187.76	Facility		$562.34	$1,047.13	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $831.76 / $1,148.15	Professional		$380.19	$831.76	$1,148.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,238.72 / $3,019.95	Facility		$1,148.15	$2,238.72	$3,019.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $645.65 / $912.01	Professional		$602.56	$645.65	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,202.26	Facility		$912.01	$912.01	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $912.01	Professional		$316.23	$316.23	$912.01