Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.35 / $757.94 / $1,151.00	Facility		$606.35	$757.94	$1,151.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $598.75 / $790.33	Professional		$575.50	$598.75	$790.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.92 / $1,117.53 / $1,265.76	Facility		$542.92	$1,117.53	$1,265.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $678.66	Professional		$575.50	$575.50	$678.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $961.36 / $1,344.29 / $1,731.93	Professional		$961.36	$1,344.29	$1,731.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.50 / $633.04 / $1,237.33	Facility		$575.50	$633.04	$1,237.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $633.04 / $748.15	Professional		$575.50	$633.04	$748.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.50 / $719.38 / $1,261.21	Facility		$575.50	$719.38	$1,261.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.50 / $660.48 / $1,185.53	Facility		$575.50	$660.48	$1,185.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $661.90 / $849.39	Professional		$575.50	$661.90	$849.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $478.45 / $699.11 / $1,894.49	Facility		$478.45	$699.11	$1,894.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $575.50	Professional		$575.50	$575.50	$575.50
United Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $661.83	Professional		$575.50	$575.50	$661.83