Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $676.08 / $676.08	Facility		$602.56	$676.08	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $602.56 / $616.60	Professional		$575.44	$602.56	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,548.82	Professional		$977.24	$1,148.15	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,318.26 / $1,659.59	Facility		$630.96	$1,318.26	$1,659.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $616.60 / $1,318.26	Professional		$575.44	$616.60	$1,318.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $1,412.54	Facility		$676.08	$676.08	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $851.14 / $2,041.74	Facility		$602.56	$851.14	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $616.60 / $1,258.93	Professional		$79.43	$616.60	$1,258.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $1,584.89	Facility		$660.69	$660.69	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $812.83	Professional		$676.08	$676.08	$812.83