Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.70 / $812.70 / $1,139.67	Facility		$812.70	$812.70	$1,139.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.45 / $406.35 / $1,927.72	Professional		$289.45	$406.35	$1,927.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.74 / $375.74 / $375.74	Facility		$375.74	$375.74	$375.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $319.38 / $375.74	Professional		$319.38	$319.38	$375.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.69 / $1,273.41 / $1,660.85	Professional		$467.69	$1,273.41	$1,660.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $406.35 / $556.70 / $668.13	Facility		$406.35	$556.70	$668.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $496.77 / $601.32 / $668.13	Professional		$496.77	$601.32	$668.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $601.32 / $652.47 / $734.94	Facility		$601.32	$652.47	$734.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $375.74 / $556.70 / $668.13	Facility		$375.74	$556.70	$668.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $585.04 / $734.94	Professional		$319.38	$585.04	$734.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $581.27 / $734.94 / $734.94	Professional		$581.27	$734.94	$734.94
United Facility/Professional Professional Modifier Low / Median / High Price $286.61 / $299.99 / $572.35	Professional		$286.61	$299.99	$572.35