Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.02 / $655.03 / $1,058.52	Facility		$524.02	$655.03	$1,058.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.25 / $534.54 / $726.83	Professional		$529.25	$534.54	$726.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.30 / $744.87 / $1,076.96	Facility		$499.30	$744.87	$1,076.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $574.19	Professional		$529.26	$529.26	$574.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $516.67 / $1,150.56 / $1,384.69	Professional		$516.67	$1,150.56	$1,384.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $529.26 / $756.84 / $1,518.00	Facility		$529.26	$756.84	$1,518.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $561.01 / $688.04	Professional		$529.26	$561.01	$688.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.02 / $655.03 / $1,587.78	Facility		$524.02	$655.03	$1,587.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $529.26 / $756.84 / $1,518.00	Facility		$529.26	$756.84	$1,518.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $571.07 / $644.13 / $744.72	Professional		$571.07	$644.13	$744.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $509.35 / $1,013.00 / $1,975.54	Facility		$509.35	$1,013.00	$1,975.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $529.26	Professional		$529.26	$529.26	$529.26
United Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $529.26	Professional		$529.26	$529.26	$529.26