Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.35 / $840.22 / $1,622.49	Facility		$695.35	$840.22	$1,622.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $492.54 / $562.08 / $2,153.27	Professional		$492.54	$562.08	$2,153.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $941.63 / $1,450.10 / $1,683.63	Facility		$941.63	$1,450.10	$1,683.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.14 / $610.89 / $1,039.80	Professional		$278.14	$610.89	$1,039.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $579.46 / $1,412.75 / $1,524.28	Professional		$579.46	$1,412.75	$1,524.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $259.73 / $579.46 / $1,208.47	Facility		$259.73	$579.46	$1,208.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $548.20 / $579.46 / $782.27	Professional		$548.20	$579.46	$782.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $579.46 / $637.41 / $1,279.16	Facility		$579.46	$637.41	$1,279.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $259.73 / $695.35 / $1,450.10	Facility		$259.73	$695.35	$1,450.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $520.79 / $637.41 / $811.24	Professional		$520.79	$637.41	$811.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,129.95 / $1,763.30 / $2,393.98	Facility		$1,129.95	$1,763.30	$2,393.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $411.15 / $548.20 / $1,428.49	Professional		$411.15	$548.20	$1,428.49
United Facility/Professional Professional Modifier Low / Median / High Price $243.37 / $243.37 / $695.35	Professional		$243.37	$243.37	$695.35