Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.27 / $687.27 / $687.27	Facility		$687.27	$687.27	$687.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.77 / $443.82 / $576.83	Professional		$282.77	$443.82	$576.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $643.37 / $643.37	Professional		$65.25	$643.37	$643.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,638.14 / $1,850.01 / $2,203.41	Professional		$1,638.14	$1,850.01	$2,203.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.84 / $443.82 / $1,521.39	Facility		$79.84	$443.82	$1,521.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,287.00 / $1,545.85 / $1,545.85	Facility		$1,287.00	$1,545.85	$1,545.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.73 / $443.82 / $954.21	Facility		$77.73	$443.82	$954.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.16 / $84.50 / $643.37	Professional		$73.16	$84.50	$643.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $976.58 / $976.58 / $976.58	Professional		$976.58	$976.58	$976.58
United Facility/Professional Professional Modifier Low / Median / High Price $372.51 / $388.47 / $679.82	Professional		$372.51	$388.47	$679.82