Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $636.09 / $737.86 / $1,424.84	Facility		$636.09	$737.86	$1,424.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.56 / $508.87 / $737.86	Professional		$376.56	$508.87	$737.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $826.93 / $1,273.46 / $1,478.54	Facility		$826.93	$1,273.46	$1,478.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.58 / $540.79 / $912.91	Professional		$236.58	$540.79	$912.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $508.87 / $1,117.18 / $1,338.75	Professional		$508.87	$1,117.18	$1,338.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $381.65 / $508.87 / $1,119.51	Facility		$381.65	$508.87	$1,119.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $508.87 / $508.87 / $712.42	Professional		$508.87	$508.87	$712.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $508.87 / $534.30 / $1,123.33	Facility		$508.87	$534.30	$1,123.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $508.87 / $643.72 / $1,273.46	Facility		$508.87	$643.72	$1,273.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $536.52 / $585.02 / $732.77	Professional		$536.52	$585.02	$732.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $992.30 / $1,548.49 / $2,102.35	Facility		$992.30	$1,548.49	$2,102.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $898.95 / $1,000.33 / $1,600.83	Professional		$898.95	$1,000.33	$1,600.83
United Facility/Professional Professional Modifier Low / Median / High Price $213.73 / $213.73 / $534.30	Professional		$213.73	$213.73	$534.30