Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.48 / $840.48 / $840.48	Facility		$840.48	$840.48	$840.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $587.63 / $609.66 / $791.04	Professional		$587.63	$609.66	$791.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.36 / $1,680.96 / $1,680.96	Facility		$624.36	$1,680.96	$1,680.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Professional		$624.36	$624.36	$624.36
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 $609.66 / $835.25 / $1,310.79	Facility		$609.66	$835.25	$1,310.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $381.01 / $628.66 / $971.81	Professional		$381.01	$628.66	$971.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $697.81 / $939.36 / $2,219.00	Facility		$697.81	$939.36	$2,219.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $609.66 / $807.99 / $1,310.79	Facility		$609.66	$807.99	$1,310.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $1,174.20 / $1,268.14	Professional		$624.36	$1,174.20	$1,268.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $848.00 / $1,272.00 / $2,821.92	Facility		$848.00	$1,272.00	$2,821.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $848.00 / $976.63 / $976.63	Professional		$848.00	$976.63	$976.63
United Facility/Professional Professional Modifier Low / Median / High Price $612.11 / $612.11 / $703.93	Professional		$612.11	$612.11	$703.93