Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,258.93 / $2,290.87	Facility		$489.78	$1,258.93	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $489.78	Professional		$275.42	$380.19	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,318.26 / $1,479.11	Facility		$812.83	$1,318.26	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $660.69	Professional		$407.38	$501.19	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,096.48 / $1,288.25	Professional		$501.19	$1,096.48	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $691.83	Facility		$501.19	$501.19	$691.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $549.54 / $724.44	Professional		$501.19	$549.54	$724.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $549.54 / $870.96	Facility		$457.09	$549.54	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $691.83 / $1,479.11	Facility		$489.78	$691.83	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $501.19 / $630.96	Professional		$79.43	$501.19	$630.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,479.11 / $1,995.26	Facility		$758.58	$1,479.11	$1,995.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $602.56	Professional		$380.19	$457.09	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $812.83	Facility		$602.56	$602.56	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $602.56	Professional		$213.80	$213.80	$602.56