Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.91 / $754.50 / $1,372.00	Facility		$685.91	$754.50	$1,372.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $686.00 / $831.32	Professional		$686.00	$686.00	$831.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.29 / $1,090.67 / $1,283.66	Facility		$642.29	$1,090.67	$1,283.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $686.00 / $776.61	Professional		$686.00	$686.00	$776.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,086.97 / $1,493.96 / $1,795.39	Professional		$1,086.97	$1,493.96	$1,795.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $685.91 / $686.00 / $1,474.90	Facility		$685.91	$686.00	$1,474.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $754.60 / $891.80	Professional		$686.00	$754.60	$891.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $609.16 / $686.00 / $1,423.58	Facility		$609.16	$686.00	$1,423.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $686.00 / $724.43 / $1,296.60	Facility		$686.00	$724.43	$1,296.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $658.78 / $744.25 / $841.32	Professional		$658.78	$744.25	$841.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $557.38 / $936.13 / $2,117.06	Facility		$557.38	$936.13	$2,117.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $686.00 / $754.60	Professional		$686.00	$686.00	$754.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,406.30 / $1,406.30 / $1,646.40	Facility		$1,406.30	$1,406.30	$1,646.40
United Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $686.00 / $788.90	Professional		$686.00	$686.00	$788.90