Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $610.83 / $708.56 / $1,368.25	Facility		$610.83	$708.56	$1,368.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.36 / $474.00 / $952.89	Professional		$415.36	$474.00	$952.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.08 / $1,222.88 / $1,754.47	Facility		$794.08	$1,222.88	$1,754.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.96 / $635.92 / $958.53	Professional		$328.96	$635.92	$958.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $488.66 / $1,073.13 / $1,285.98	Professional		$488.66	$1,073.13	$1,285.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $439.79 / $906.77 / $1,630.95	Facility		$439.79	$906.77	$1,630.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $488.66 / $542.95 / $853.40	Professional		$488.66	$542.95	$853.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $488.66 / $537.53 / $1,078.72	Facility		$488.66	$537.53	$1,078.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $561.96 / $677.82 / $1,441.55	Facility		$561.96	$677.82	$1,441.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $537.53 / $604.96 / $781.85	Professional		$537.53	$604.96	$781.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $952.89 / $1,508.20 / $2,018.85	Facility		$952.89	$1,508.20	$2,018.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $863.04 / $960.87 / $1,536.88	Professional		$863.04	$960.87	$1,536.88
United Facility/Professional Professional Modifier Low / Median / High Price $205.24 / $279.29 / $586.39	Professional		$205.24	$279.29	$586.39