Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $2,137.96 / $2,137.96	Facility		$371.54	$2,137.96	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $371.54 / $389.05	Professional		$354.81	$371.54	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,513.56 / $1,778.28	Professional		$794.33	$1,513.56	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $446.68 / $794.33	Facility		$371.54	$446.68	$794.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $371.54 / $380.19	Professional		$354.81	$371.54	$380.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $562.34	Facility		$467.74	$562.34	$562.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $489.78 / $2,089.30	Facility		$371.54	$489.78	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $380.19 / $891.25	Professional		$79.43	$380.19	$891.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $467.74	Professional		$389.05	$389.05	$467.74