Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.92 / $527.08 / $1,090.00	Facility		$302.92	$527.08	$1,090.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $1,090.00	Professional		$328.34	$328.34	$1,090.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.75 / $551.55 / $577.60	Facility		$309.75	$551.55	$577.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $387.19	Professional		$328.34	$328.34	$387.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $507.59 / $692.16 / $854.48	Professional		$507.59	$692.16	$854.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.92 / $568.03 / $1,260.77	Facility		$302.92	$568.03	$1,260.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $361.17 / $508.93	Professional		$328.34	$361.17	$508.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.92 / $377.90 / $1,324.54	Facility		$302.92	$377.90	$1,324.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $328.34 / $564.26 / $1,159.39	Facility		$328.34	$564.26	$1,159.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $406.00 / $1,048.08	Professional		$328.34	$406.00	$1,048.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $636.02 / $1,129.65 / $3,005.67	Facility		$636.02	$1,129.65	$3,005.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $361.17	Professional		$328.34	$328.34	$361.17
United Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $377.59	Professional		$328.34	$328.34	$377.59