Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.39 / $866.97 / $2,462.40	Facility		$747.39	$866.97	$2,462.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.43 / $448.43 / $719.07	Professional		$448.43	$448.43	$719.07
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 / $647.39 / $1,072.70	Professional		$349.78	$647.39	$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 $538.12 / $597.91 / $1,286.21	Facility		$538.12	$597.91	$1,286.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $597.91 / $597.91 / $837.07	Professional		$597.91	$597.91	$837.07
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 $585.25 / $719.07 / $1,303.44	Facility		$585.25	$719.07	$1,303.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $597.91 / $657.70 / $855.01	Professional		$597.91	$657.70	$855.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,165.92 / $1,819.44 / $2,470.21	Facility		$1,165.92	$1,819.44	$2,470.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $448.43 / $1,111.32 / $1,671.39	Professional		$448.43	$1,111.32	$1,671.39
United Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $251.12 / $597.91	Professional		$37.72	$251.12	$597.91