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 $497.17 / $567.35 / $1,140.56	Professional		$497.17	$567.35	$1,140.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $950.48 / $1,463.73 / $1,879.10	Facility		$950.48	$1,463.73	$1,879.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.16 / $761.15 / $1,147.41	Professional		$336.16	$761.15	$1,147.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $1,284.08 / $1,538.74	Professional		$584.90	$1,284.08	$1,538.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $438.68 / $614.15 / $1,286.78	Facility		$438.68	$614.15	$1,286.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $584.90 / $789.62	Professional		$584.90	$584.90	$789.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $614.15 / $877.35	Facility		$584.90	$614.15	$877.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $614.15 / $739.90 / $1,696.21	Facility		$614.15	$739.90	$1,696.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $643.39 / $707.73 / $935.84	Professional		$643.39	$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 $1,033.01 / $1,150.04 / $1,839.57	Professional		$1,033.01	$1,150.04	$1,839.57
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $303.27 / $584.90	Professional		$245.66	$303.27	$584.90