Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,311.31 / $3,311.31	Facility		$724.44	$3,311.31	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $933.25	Professional		$457.09	$562.34	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,137.96	Facility		$1,202.26	$1,202.26	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,584.89 / $1,949.84	Professional		$741.31	$1,584.89	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $1,047.13	Professional		$630.96	$812.83	$1,047.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $812.83 / $1,148.15	Facility		$660.69	$812.83	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,023.29 / $1,949.84	Facility		$575.44	$1,023.29	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $812.83 / $1,047.13	Professional		$79.43	$812.83	$1,047.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,238.72 / $2,951.21	Facility		$1,288.25	$2,238.72	$2,951.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $630.96 / $891.25	Professional		$588.84	$630.96	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,174.90	Facility		$891.25	$891.25	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $891.25	Professional		$309.03	$309.03	$891.25