Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $912.01 / $2,691.53	Facility		$741.31	$912.01	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $977.24	Professional		$354.81	$489.78	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,584.89 / $1,737.80	Facility		$977.24	$1,584.89	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $660.69 / $1,071.52	Professional		$346.74	$660.69	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,288.25 / $1,584.89	Professional		$602.56	$1,288.25	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $676.08	Facility		$602.56	$602.56	$676.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $691.83 / $831.76	Professional		$602.56	$691.83	$831.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $1,122.02	Facility		$602.56	$602.56	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $831.76 / $1,584.89	Facility		$446.68	$831.76	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $851.14	Professional		$537.03	$660.69	$851.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,737.80 / $2,344.23	Facility		$891.25	$1,737.80	$2,344.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $724.44	Professional		$446.68	$549.54	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $954.99	Facility		$724.44	$724.44	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $724.44	Professional		$251.19	$251.19	$724.44