Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.36 / $8,946.81 / $11,191.96	Facility		$627.36	$8,946.81	$11,191.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.60 / $627.36 / $9,741.60	Professional		$612.60	$627.36	$9,741.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.92 / $1,107.22 / $1,384.02	Facility		$891.92	$1,107.22	$1,384.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.36 / $627.36 / $627.36	Professional		$627.36	$627.36	$627.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $175.00 / $194.25	Professional		$150.00	$175.00	$194.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $612.60 / $738.07 / $1,317.09	Facility		$612.60	$738.07	$1,317.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $332.44 / $548.53 / $831.10	Professional		$332.44	$548.53	$831.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $529.23 / $529.23 / $79,999.20	Facility		$529.23	$529.23	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $612.60 / $780.19 / $1,317.09	Facility		$612.60	$780.19	$1,317.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $627.36 / $789.66 / $906.31	Professional		$627.36	$789.66	$906.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $558.03 / $837.05 / $1,879.17	Facility		$558.03	$837.05	$1,879.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $541.78 / $701.17 / $701.17	Professional		$541.78	$701.17	$701.17
United Facility/Professional Professional Modifier Low / Median / High Price $615.05 / $615.05 / $707.32	Professional		$615.05	$615.05	$707.32