Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $683.33 / $683.33 / $683.33	Facility		$683.33	$683.33	$683.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $597.02 / $597.02 / $597.02	Professional		$597.02	$597.02	$597.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,222.82 / $1,222.82 / $1,222.82	Facility		$1,222.82	$1,222.82	$1,222.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.41 / $611.41 / $611.41	Professional		$611.41	$611.41	$611.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,035.36 / $1,194.24 / $1,548.11	Professional		$1,035.36	$1,194.24	$1,548.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $597.02 / $791.23 / $1,283.58	Facility		$597.02	$791.23	$1,283.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $683.33 / $844.60 / $1,407.67	Facility		$683.33	$844.60	$1,407.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $597.02 / $854.16 / $1,366.66	Facility		$597.02	$854.16	$1,366.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $611.41 / $854.16 / $1,195.83	Professional		$611.41	$854.16	$1,195.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $683.33 / $683.33 / $683.33	Professional		$683.33	$683.33	$683.33
United Facility/Professional Professional Modifier Low / Median / High Price $683.34 / $683.34 / $785.84	Professional		$683.34	$683.34	$785.84