Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.99 / $691.93 / $1,159.94	Facility		$579.99	$691.93	$1,159.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $585.76 / $1,296.08	Professional		$579.97	$585.76	$1,296.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $547.14 / $796.83 / $1,129.28	Facility		$547.14	$796.83	$1,129.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $629.21	Professional		$579.97	$579.97	$629.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $571.85 / $1,273.41 / $1,481.73	Professional		$571.85	$1,273.41	$1,481.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $400.80 / $753.27 / $1,246.94	Facility		$400.80	$753.27	$1,246.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $614.76 / $753.96	Professional		$579.97	$614.76	$753.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $579.97 / $724.96 / $1,459.02	Facility		$579.97	$724.96	$1,459.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $547.14 / $796.83 / $1,246.94	Facility		$547.14	$796.83	$1,246.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.01 / $629.21 / $707.29	Professional		$398.01	$629.21	$707.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $513.74 / $900.61 / $1,938.35	Facility		$513.74	$900.61	$1,938.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $579.97	Professional		$579.97	$579.97	$579.97
United Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $579.97	Professional		$579.97	$579.97	$579.97