Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $776.25 / $1,258.93	Facility		$524.81	$776.25	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $549.54 / $741.31	Professional		$524.81	$549.54	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $741.31 / $1,071.52	Facility		$501.19	$741.31	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $575.44	Professional		$524.81	$524.81	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,148.15 / $1,348.96	Professional		$524.81	$1,148.15	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $562.34 / $1,047.13	Facility		$524.81	$562.34	$1,047.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $562.34 / $691.83	Professional		$524.81	$562.34	$691.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $660.69 / $1,096.48	Facility		$524.81	$660.69	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $758.58 / $1,548.82	Facility		$524.81	$758.58	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $524.81 / $660.69	Professional		$79.43	$524.81	$660.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,174.90 / $1,905.46	Facility		$512.86	$1,174.90	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $1,258.93	Facility		$524.81	$524.81	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $537.03	Professional		$524.81	$524.81	$537.03