Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.58 / $903.08 / $1,273.18	Facility		$528.58	$903.08	$1,273.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.29 / $662.30 / $1,819.80	Professional		$634.29	$662.30	$1,819.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $600.55 / $799.04 / $1,327.28	Facility		$600.55	$799.04	$1,327.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $690.64	Professional		$636.59	$636.59	$690.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $521.14 / $1,160.49 / $1,485.97	Professional		$521.14	$1,160.49	$1,485.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $636.59 / $910.32 / $1,980.00	Facility		$636.59	$910.32	$1,980.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $674.79 / $827.57	Professional		$636.59	$674.79	$827.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $528.58 / $720.67 / $1,585.74	Facility		$528.58	$720.67	$1,585.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $636.59 / $910.36 / $1,671.36	Facility		$636.59	$910.36	$1,671.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $705.81 / $983.92	Professional		$636.59	$705.81	$983.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $762.03 / $1,149.51 / $2,520.61	Facility		$762.03	$1,149.51	$2,520.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $636.59	Professional		$636.59	$636.59	$636.59
United Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $732.08	Professional		$636.59	$636.59	$732.08