Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.70 / $713.70 / $5,286.76	Facility		$713.70	$713.70	$5,286.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.87 / $427.99 / $1,863.00	Professional		$410.87	$427.99	$1,863.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $460.00 / $460.00	Facility		$460.00	$460.00	$460.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.80 / $335.80 / $460.00	Professional		$335.80	$335.80	$460.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $479.45 / $1,450.98 / $1,892.44	Professional		$479.45	$1,450.98	$1,892.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $410.87 / $562.89 / $703.15	Facility		$410.87	$562.89	$703.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $509.28 / $643.83 / $719.18	Professional		$509.28	$643.83	$719.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $543.69 / $668.88 / $753.42	Facility		$543.69	$668.88	$753.42
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $543.69 / $684.93 / $753.42	Professional		$543.69	$684.93	$753.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $410.87 / $599.75 / $719.18	Facility		$410.87	$599.75	$719.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $335.80 / $599.75 / $753.42	Professional		$335.80	$599.75	$753.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $570.65 / $1,139.02 / $2,402.96	Facility		$570.65	$1,139.02	$2,402.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $589.04 / $753.42 / $753.42	Professional		$589.04	$753.42	$753.42
United Facility/Professional Professional Modifier Low / Median / High Price $321.64 / $341.71 / $654.94	Professional		$321.64	$341.71	$654.94