Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $851.14 / $1,412.54	Facility		$588.84	$851.14	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $776.25	Professional		$588.84	$588.84	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $812.83 / $1,148.15	Facility		$549.54	$812.83	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $645.65	Professional		$588.84	$588.84	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,288.25 / $1,513.56	Professional		$588.84	$1,288.25	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $630.96 / $1,174.90	Facility		$524.81	$630.96	$1,174.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $630.96 / $758.58	Professional		$245.47	$630.96	$758.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $741.31 / $1,230.27	Facility		$588.84	$741.31	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $812.83 / $1,698.24	Facility		$588.84	$812.83	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $562.34 / $645.65	Professional		$79.43	$562.34	$645.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $812.83 / $1,737.80	Facility		$512.86	$812.83	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $1,412.54	Facility		$588.84	$588.84	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84