Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.49 / $585.21 / $1,130.05	Facility		$504.49	$585.21	$1,130.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.58 / $391.48 / $787.00	Professional		$290.58	$391.48	$787.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $655.83 / $793.10 / $1,172.61	Facility		$655.83	$793.10	$1,172.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.06 / $445.26 / $724.34	Professional		$354.06	$445.26	$724.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $403.59 / $886.34 / $1,062.13	Professional		$403.59	$886.34	$1,062.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.69 / $423.77 / $841.68	Facility		$302.69	$423.77	$841.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $403.59 / $403.59 / $544.85	Professional		$403.59	$403.59	$544.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $403.59 / $423.77 / $890.92	Facility		$403.59	$423.77	$890.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $423.77 / $510.54 / $887.90	Facility		$423.77	$510.54	$887.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $403.59 / $443.95 / $581.16	Professional		$403.59	$443.95	$581.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,228.11 / $1,584.45	Facility		$787.00	$1,228.11	$1,584.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $712.81 / $793.46 / $1,269.36	Professional		$712.81	$793.46	$1,269.36
United Facility/Professional Professional Modifier Low / Median / High Price $126.26 / $169.51 / $423.77	Professional		$126.26	$169.51	$423.77