Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.65 / $583.07 / $1,181.70	Facility		$502.65	$583.07	$1,181.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.80 / $390.06 / $784.13	Professional		$341.80	$390.06	$784.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $653.45 / $1,006.31 / $1,443.80	Facility		$653.45	$1,006.31	$1,443.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.53 / $523.24 / $721.40	Professional		$352.53	$523.24	$721.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $402.12 / $882.80 / $1,057.89	Professional		$402.12	$882.80	$1,057.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $301.58 / $422.23 / $884.66	Facility		$301.58	$422.23	$884.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $402.12 / $402.12 / $547.78	Professional		$402.12	$402.12	$547.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $402.12 / $422.23 / $887.68	Facility		$402.12	$422.23	$887.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $422.23 / $508.68 / $1,166.15	Facility		$422.23	$508.68	$1,166.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $442.33 / $486.57 / $643.39	Professional		$442.33	$486.57	$643.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $784.13 / $1,241.13 / $1,661.32	Facility		$784.13	$1,241.13	$1,661.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $710.42 / $790.74 / $1,265.09	Professional		$710.42	$790.74	$1,265.09
United Facility/Professional Professional Modifier Low / Median / High Price $168.89 / $229.84 / $482.54	Professional		$168.89	$229.84	$482.54