Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,122.02 / $2,630.27	Facility		$512.86	$1,122.02	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $794.33 / $794.33	Professional		$380.19	$794.33	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $177.83	Professional		$169.82	$169.82	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $794.33 / $1,380.38	Facility		$691.83	$794.33	$1,380.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $794.33 / $794.33	Professional		$323.59	$794.33	$794.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,202.26 / $1,202.26	Facility		$467.74	$1,202.26	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $794.33 / $1,348.96	Facility		$549.54	$794.33	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $309.03 / $309.03	Professional		$79.43	$309.03	$309.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $2,089.30	Facility		$1,318.26	$1,659.59	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $2,454.71	Facility		$1,513.56	$1,862.09	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $489.78 / $630.96	Professional		$436.52	$489.78	$630.96