Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.71 / $535.28 / $1,233.85	Professional		$453.71	$535.28	$1,233.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $510.00 / $510.00	Facility		$510.00	$510.00	$510.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $372.30 / $510.00	Professional		$372.30	$372.30	$510.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $637.72 / $1,715.88 / $2,237.94	Professional		$637.72	$1,715.88	$2,237.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $546.49 / $748.69 / $911.03	Facility		$546.49	$748.69	$911.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $677.37 / $856.37 / $956.58	Professional		$677.37	$856.37	$956.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $723.14 / $819.93 / $911.03	Facility		$723.14	$819.93	$911.03
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $723.72 / $911.03 / $911.03	Professional		$723.72	$911.03	$911.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $781.48 / $956.58	Facility		$510.00	$781.48	$956.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $797.73 / $1,002.13	Professional		$372.30	$797.73	$1,002.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $759.02 / $1,515.00 / $3,196.19	Facility		$759.02	$1,515.00	$3,196.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $783.49 / $1,002.13 / $1,002.13	Professional		$783.49	$1,002.13	$1,002.13
United Facility/Professional Professional Modifier Low / Median / High Price $380.48 / $404.20 / $771.16	Professional		$380.48	$404.20	$771.16