Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.75 / $1,435.97 / $1,490.02	Facility		$520.75	$1,435.97	$1,490.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.52 / $369.97 / $1,040.46	Professional		$340.52	$369.97	$1,040.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $768.84 / $768.84 / $768.84	Facility		$768.84	$768.84	$768.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.51 / $440.51 / $440.51	Professional		$440.51	$440.51	$440.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $995.49 / $1,189.80 / $1,294.96	Professional		$995.49	$1,189.80	$1,294.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $433.46 / $520.75 / $931.94	Facility		$433.46	$520.75	$931.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $520.75 / $562.00 / $936.66	Facility		$520.75	$562.00	$936.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $433.46 / $650.94 / $1,041.50	Facility		$433.46	$650.94	$1,041.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $440.51 / $650.94 / $911.31	Professional		$440.51	$650.94	$911.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $520.75 / $520.75 / $520.75	Professional		$520.75	$520.75	$520.75
United Facility/Professional Professional Modifier Low / Median / High Price $520.75 / $520.75 / $598.86	Professional		$520.75	$520.75	$598.86