Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.65 / $483.65 / $483.65	Facility		$483.65	$483.65	$483.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $521.30	Professional		$449.41	$449.41	$521.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.97 / $868.31 / $965.44	Facility		$423.97	$868.31	$965.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $529.96	Professional		$449.41	$449.41	$529.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $810.74 / $1,179.26 / $1,757.20	Professional		$810.74	$1,179.26	$1,757.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $483.65 / $1,518.00	Facility		$449.41	$483.65	$1,518.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $516.82 / $584.23	Professional		$449.41	$516.82	$584.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $508.76 / $1,003.79	Facility		$449.41	$508.76	$1,003.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $605.51 / $1,389.21	Facility		$449.41	$605.51	$1,389.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $731.41 / $1,389.21	Professional		$449.41	$731.41	$1,389.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $426.94 / $449.41 / $449.41	Professional		$426.94	$449.41	$449.41
United Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $516.82	Professional		$449.41	$449.41	$516.82