Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.19 / $875.60 / $7,984.56	Facility		$216.19	$875.60	$7,984.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.70 / $532.37 / $2,356.86	Professional		$324.70	$532.37	$2,356.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $666.06 / $666.06 / $666.06	Facility		$666.06	$666.06	$666.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $566.15 / $566.15 / $666.06	Professional		$566.15	$566.15	$666.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $612.72 / $1,587.33 / $2,070.29	Professional		$612.72	$1,587.33	$2,070.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $532.37 / $729.35 / $875.32	Facility		$532.37	$729.35	$875.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $650.83 / $822.80 / $919.09	Professional		$650.83	$822.80	$919.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $787.79 / $875.32 / $1,099.24	Facility		$787.79	$875.32	$1,099.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $532.37 / $727.05 / $875.32	Facility		$532.37	$727.05	$875.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $566.15 / $766.46 / $962.85	Professional		$566.15	$766.46	$962.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $761.53 / $962.85 / $962.85	Professional		$761.53	$962.85	$962.85
United Facility/Professional Professional Modifier Low / Median / High Price $357.24 / $373.91 / $713.37	Professional		$357.24	$373.91	$713.37