Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $891.25 / $2,630.27	Facility		$724.44	$891.25	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $1,071.52	Professional		$389.05	$501.19	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,548.82 / $1,862.09	Facility		$954.99	$1,548.82	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $630.96 / $1,148.15	Professional		$331.13	$630.96	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,258.93 / $1,548.82	Professional		$588.84	$1,258.93	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $645.65 / $812.83	Professional		$588.84	$645.65	$812.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $870.96	Facility		$588.84	$588.84	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $812.83 / $1,737.80	Facility		$524.81	$812.83	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $660.69 / $912.01	Professional		$407.38	$660.69	$912.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,737.80 / $2,398.83	Facility		$870.96	$1,737.80	$2,398.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $501.19 / $707.95	Professional		$467.74	$501.19	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $933.25	Facility		$707.95	$707.95	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $707.95	Professional		$245.47	$302.00	$707.95