Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $532.58 / $665.73 / $1,059.78	Facility		$532.58	$665.73	$1,059.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $551.29 / $1,286.76	Professional		$529.89	$551.29	$1,286.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.90 / $744.20 / $1,049.14	Facility		$499.90	$744.20	$1,049.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $574.88	Professional		$529.89	$529.89	$574.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.97 / $1,169.02 / $1,383.85	Professional		$524.97	$1,169.02	$1,383.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $529.89 / $757.74 / $1,139.26	Facility		$529.89	$757.74	$1,139.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $561.67 / $688.86	Professional		$529.89	$561.67	$688.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $529.89 / $609.88 / $1,589.67	Facility		$529.89	$609.88	$1,589.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $529.08 / $744.20 / $1,139.26	Facility		$529.08	$744.20	$1,139.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $624.88 / $661.33	Professional		$529.89	$624.88	$661.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $518.14 / $843.41 / $1,933.05	Facility		$518.14	$843.41	$1,933.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $529.89	Professional		$529.89	$529.89	$529.89
United Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $609.37	Professional		$529.89	$529.89	$609.37