Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.52 / $610.04 / $1,017.92	Facility		$519.52	$610.04	$1,017.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $519.52 / $1,163.54	Professional		$508.96	$519.52	$1,163.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.15 / $695.73 / $995.40	Facility		$480.15	$695.73	$995.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $552.17	Professional		$508.96	$508.96	$552.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $1,140.59 / $1,321.28	Professional		$508.96	$1,140.59	$1,321.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $415.78 / $665.15 / $1,094.26	Facility		$415.78	$665.15	$1,094.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $539.50 / $661.65	Professional		$508.96	$539.50	$661.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $508.96 / $636.20 / $1,078.24	Facility		$508.96	$636.20	$1,078.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $480.15 / $695.73 / $1,094.26	Facility		$480.15	$695.73	$1,094.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $352.21 / $552.16 / $614.60	Professional		$352.21	$552.16	$614.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $454.17 / $776.91 / $1,756.98	Facility		$454.17	$776.91	$1,756.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $508.96	Professional		$508.96	$508.96	$508.96
United Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $610.75	Professional		$508.96	$508.96	$610.75