Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.55 / $698.20 / $1,116.92	Facility		$558.55	$698.20	$1,116.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $564.04 / $1,422.45	Professional		$558.46	$564.04	$1,422.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.85 / $767.30 / $1,085.14	Facility		$526.85	$767.30	$1,085.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $605.87	Professional		$558.46	$558.46	$605.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $550.79 / $1,226.54 / $1,426.41	Professional		$550.79	$1,226.54	$1,426.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $558.46 / $710.58 / $1,200.69	Facility		$558.46	$710.58	$1,200.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $591.96 / $726.00	Professional		$558.46	$591.96	$726.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $558.46 / $698.08 / $1,161.59	Facility		$558.46	$698.08	$1,161.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.67 / $583.60 / $798.60	Facility		$562.67	$583.60	$798.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $546.90 / $605.88 / $678.65	Professional		$546.90	$605.88	$678.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $558.46 / $692.39 / $1,602.65	Facility		$558.46	$692.39	$1,602.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $558.46	Professional		$558.46	$558.46	$558.46
United Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $642.23	Professional		$558.46	$558.46	$642.23