Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $883.56 / $900.03 / $1,010.11	Facility		$883.56	$900.03	$1,010.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.79 / $449.88 / $629.75	Professional		$371.79	$449.88	$629.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $646.26 / $646.26 / $646.26	Facility		$646.26	$646.26	$646.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.32 / $823.12 / $1,126.34	Professional		$534.32	$823.12	$1,126.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.11 / $912.05 / $1,038.25	Professional		$758.11	$912.05	$1,038.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $384.60 / $545.99 / $1,013.43	Facility		$384.60	$545.99	$1,013.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $636.72 / $763.52 / $1,265.72	Professional		$636.72	$763.52	$1,265.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $498.80 / $792.61 / $815.39	Facility		$498.80	$792.61	$815.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $393.68 / $555.83 / $1,028.00	Facility		$393.68	$555.83	$1,028.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.60 / $887.83 / $1,112.60	Professional		$562.60	$887.83	$1,112.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $614.57 / $798.47 / $1,124.40	Professional		$614.57	$798.47	$1,124.40
United Facility/Professional Professional Modifier Low / Median / High Price $567.84 / $851.76 / $1,262.70	Professional		$567.84	$851.76	$1,262.70