Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.07 / $1,467.34 / $3,789.24	Facility		$758.07	$1,467.34	$3,789.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.66 / $741.00 / $1,545.87	Professional		$733.66	$741.00	$1,545.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $692.14 / $1,193.86 / $1,410.28	Facility		$692.14	$1,193.86	$1,410.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $733.67 / $830.56	Professional		$733.67	$733.67	$830.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,231.03 / $1,611.53 / $1,970.74	Professional		$1,231.03	$1,611.53	$1,970.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.07 / $734.15 / $1,387.85	Facility		$389.07	$734.15	$1,387.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $777.68 / $953.77	Professional		$733.67	$777.68	$953.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $733.67 / $831.11 / $2,201.01	Facility		$733.67	$831.11	$2,201.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $469.99 / $762.75 / $1,387.74	Facility		$469.99	$762.75	$1,387.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $687.05 / $773.96 / $899.78	Professional		$687.05	$773.96	$899.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $576.10 / $990.92 / $1,986.74	Facility		$576.10	$990.92	$1,986.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $733.67 / $807.04	Professional		$733.67	$733.67	$807.04
United Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $733.67 / $843.72	Professional		$733.67	$733.67	$843.72