Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.79 / $704.74 / $1,145.92	Facility		$563.79	$704.74	$1,145.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.79 / $578.69 / $683.32	Professional		$563.79	$578.69	$683.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $540.53 / $540.53 / $1,053.88	Facility		$540.53	$540.53	$1,053.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $621.61	Professional		$572.96	$572.96	$621.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $555.91 / $1,220.21 / $1,434.00	Professional		$555.91	$1,220.21	$1,434.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $572.96 / $819.33 / $1,231.85	Facility		$572.96	$819.33	$1,231.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $630.26 / $744.85	Professional		$572.96	$630.26	$744.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $563.79 / $648.63 / $1,718.88	Facility		$563.79	$648.63	$1,718.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $540.53 / $1,517.36 / $4,233.04	Facility		$540.53	$1,517.36	$4,233.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $675.66 / $1,876.98	Professional		$572.96	$675.66	$1,876.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $391.51 / $699.04 / $1,366.27	Facility		$391.51	$699.04	$1,366.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $572.96	Professional		$572.96	$572.96	$572.96
United Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $572.96	Professional		$572.96	$572.96	$572.96