Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $731.13 / $848.11 / $1,637.72	Facility		$731.13	$848.11	$1,637.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.49 / $549.80 / $848.11	Professional		$368.49	$549.80	$848.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $950.48 / $1,463.73 / $2,087.89	Facility		$950.48	$1,463.73	$2,087.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.12 / $761.15 / $1,049.20	Professional		$385.12	$761.15	$1,049.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $1,426.16 / $1,538.74	Professional		$584.90	$1,426.16	$1,538.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $368.49 / $584.90 / $1,219.80	Facility		$368.49	$584.90	$1,219.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $584.90 / $795.46	Professional		$584.90	$584.90	$795.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $643.39 / $1,291.17	Facility		$584.90	$643.39	$1,291.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $368.49 / $701.88 / $1,275.08	Facility		$368.49	$701.88	$1,275.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $707.73 / $935.84	Professional		$584.90	$707.73	$935.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,140.56 / $1,805.25 / $2,416.46	Facility		$1,140.56	$1,805.25	$2,416.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $601.75 / $1,101.30 / $1,635.39	Professional		$601.75	$1,101.30	$1,635.39
United Facility/Professional Facility Modifier Low / Median / High Price $877.35 / $877.35 / $935.84	Facility		$877.35	$877.35	$935.84
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $336.98 / $701.88	Professional		$245.66	$336.98	$701.88