Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.84 / $508.84 / $508.84	Facility		$508.84	$508.84	$508.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.91 / $496.87 / $598.64	Professional		$478.91	$496.87	$598.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.84 / $1,017.68 / $1,017.68	Facility		$508.84	$1,017.68	$1,017.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.84 / $508.84 / $508.84	Professional		$508.84	$508.84	$508.84
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 $496.87 / $598.64 / $1,068.27	Facility		$496.87	$598.64	$1,068.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $442.13 / $873.84 / $1,738.94	Professional		$442.13	$873.84	$1,738.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $578.71 / $578.71 / $79,999.20	Facility		$578.71	$578.71	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $496.87 / $622.33 / $1,017.68	Facility		$496.87	$622.33	$1,017.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $508.84 / $723.39 / $792.83	Professional		$508.84	$723.39	$792.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $528.79 / $793.20 / $1,517.60	Facility		$528.79	$793.20	$1,517.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $528.79 / $578.71 / $578.71	Professional		$528.79	$578.71	$578.71
United Facility/Professional Professional Modifier Low / Median / High Price $498.87 / $498.87 / $573.70	Professional		$498.87	$498.87	$573.70