Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.50 / $334.05 / $1,871.52	Facility		$296.50	$334.05	$1,871.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.40 / $659.78 / $1,871.52	Professional		$131.40	$659.78	$1,871.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.62 / $637.39 / $2,046.21	Professional		$189.62	$637.39	$2,046.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.27 / $604.83 / $1,803.47	Professional		$261.27	$604.83	$1,803.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $150.85 / $576.08 / $1,901.53	Facility		$150.85	$576.08	$1,901.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $216.15 / $669.44 / $1,649.82	Professional		$216.15	$669.44	$1,649.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $266.08 / $1,413.59 / $1,653.08	Facility		$266.08	$1,413.59	$1,653.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $150.85 / $647.22 / $1,934.16	Facility		$150.85	$647.22	$1,934.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $248.03 / $976.10 / $1,960.98	Professional		$248.03	$976.10	$1,960.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $872.64 / $1,190.78 / $1,341.28	Facility		$872.64	$1,190.78	$1,341.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $249.47 / $459.95 / $2,050.69	Professional		$249.47	$459.95	$2,050.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,085.32 / $1,716.32 / $2,398.04	Professional		$1,085.32	$1,716.32	$2,398.04