Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $636.45 / $1,229.00 / $1,890.73	Facility		$636.45	$1,229.00	$1,890.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.09 / $425.76 / $1,890.73	Professional		$373.09	$425.76	$1,890.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,118.92 / $2,118.92 / $3,788.64	Facility		$2,118.92	$2,118.92	$3,788.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.30 / $655.14 / $1,498.36	Professional		$285.30	$655.14	$1,498.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,303.95 / $3,179.65 / $3,430.69	Professional		$1,303.95	$3,179.65	$3,430.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $276.52 / $468.34 / $1,564.74	Facility		$276.52	$468.34	$1,564.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $487.70 / $1,303.95 / $1,760.33	Professional		$487.70	$1,303.95	$1,760.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $438.93 / $1,173.56 / $1,955.93	Facility		$438.93	$1,173.56	$1,955.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $276.52 / $555.25 / $1,564.74	Facility		$276.52	$555.25	$1,564.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $482.82 / $555.25 / $842.94	Professional		$482.82	$555.25	$842.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $855.91 / $1,354.73 / $1,813.40	Facility		$855.91	$1,354.73	$1,813.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $704.46 / $928.77 / $1,438.19	Professional		$704.46	$928.77	$1,438.19
United Facility/Professional Professional Modifier Low / Median / High Price $184.35 / $252.88 / $602.10	Professional		$184.35	$252.88	$602.10