Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.38 / $682.47 / $1,092.58	Facility		$529.38	$682.47	$1,092.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $534.66 / $568.36 / $910.54	Professional		$534.66	$568.36	$910.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.09 / $426.09 / $1,043.66	Facility		$426.09	$426.09	$1,043.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $592.67	Professional		$546.29	$546.29	$592.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $522.10 / $1,146.00 / $1,346.79	Professional		$522.10	$1,146.00	$1,346.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $546.29 / $781.19 / $1,174.52	Facility		$546.29	$781.19	$1,174.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $600.91 / $875.62	Professional		$546.29	$600.91	$875.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $529.37 / $661.73 / $1,136.28	Facility		$529.37	$661.73	$1,136.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.09 / $781.19 / $1,140.95	Facility		$426.09	$781.19	$1,140.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $376.38 / $644.21 / $856.57	Professional		$376.38	$644.21	$856.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $544.73 / $883.28 / $2,065.56	Facility		$544.73	$883.28	$2,065.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $546.29	Professional		$546.29	$546.29	$546.29
United Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $546.29	Professional		$546.29	$546.29	$546.29