Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.39 / $866.97 / $1,674.15	Facility		$747.39	$866.97	$1,674.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.74 / $511.79 / $866.97	Professional		$358.74	$511.79	$866.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $971.60 / $1,496.26 / $1,737.22	Facility		$971.60	$1,496.26	$1,737.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.78 / $659.33 / $1,072.70	Professional		$349.78	$659.33	$1,072.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $597.91 / $1,457.69 / $1,572.78	Professional		$597.91	$1,457.69	$1,572.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $358.74 / $597.91 / $1,246.94	Facility		$358.74	$597.91	$1,246.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $597.91 / $597.91 / $807.18	Professional		$597.91	$597.91	$807.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $597.91 / $627.80 / $1,319.89	Facility		$597.91	$627.80	$1,319.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $358.74 / $717.49 / $1,303.44	Facility		$358.74	$717.49	$1,303.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $597.91 / $659.33 / $860.99	Professional		$597.91	$659.33	$860.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,165.92 / $1,819.44 / $2,347.33	Facility		$1,165.92	$1,819.44	$2,347.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $535.29 / $1,111.32 / $1,671.39	Professional		$535.29	$1,111.32	$1,671.39
United Facility/Professional Professional Modifier Low / Median / High Price $251.12 / $252.88 / $717.49	Professional		$251.12	$252.88	$717.49