Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,019.95 / $3,019.95	Facility		$660.69	$3,019.95	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $524.81 / $851.14	Professional		$446.68	$524.81	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,949.84	Facility		$1,096.48	$1,096.48	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,445.44 / $1,778.28	Professional		$676.08	$1,445.44	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $676.08 / $933.25	Facility		$660.69	$676.08	$933.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $741.31 / $954.99	Professional		$575.44	$741.31	$954.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $741.31 / $1,047.13	Facility		$602.56	$741.31	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $933.25 / $1,778.28	Facility		$512.86	$933.25	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $741.31 / $954.99	Professional		$79.43	$741.31	$954.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,041.74 / $2,691.53	Facility		$1,174.90	$2,041.74	$2,691.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $575.44 / $812.83	Professional		$537.03	$575.44	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $1,071.52	Facility		$812.83	$812.83	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $812.83	Professional		$281.84	$281.84	$812.83