Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.90 / $886.26 / $1,497.70	Facility		$742.90	$886.26	$1,497.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $756.33 / $1,075.89	Professional		$400.00	$756.33	$1,075.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $706.46 / $1,012.35 / $1,429.44	Facility		$706.46	$1,012.35	$1,429.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.84 / $748.84 / $812.43	Professional		$748.84	$748.84	$812.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $732.60 / $1,631.37 / $1,889.79	Professional		$732.60	$1,631.37	$1,889.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.12 / $963.25 / $1,610.03	Facility		$136.12	$963.25	$1,610.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $748.85 / $793.78 / $973.51	Professional		$748.85	$793.78	$973.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $742.89 / $861.88 / $1,557.61	Facility		$742.89	$861.88	$1,557.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $706.46 / $1,012.35 / $1,610.03	Facility		$706.46	$1,012.35	$1,610.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.44 / $812.43 / $894.88	Professional		$100.44	$812.43	$894.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $636.41 / $1,102.27 / $2,210.00	Facility		$636.41	$1,102.27	$2,210.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $748.85 / $748.85 / $748.85	Professional		$748.85	$748.85	$748.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,535.12 / $1,535.12 / $1,797.22	Facility		$1,535.12	$1,535.12	$1,797.22
United Facility/Professional Professional Modifier Low / Median / High Price $748.85 / $748.85 / $748.85	Professional		$748.85	$748.85	$748.85