Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,995.26 / $2,041.74	Facility		$436.52	$1,995.26	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $354.81 / $562.34	Professional		$295.12	$354.81	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $1,318.26	Facility		$724.44	$724.44	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $977.24 / $1,174.90	Professional		$446.68	$977.24	$1,174.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $446.68 / $630.96	Facility		$436.52	$446.68	$630.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $630.96	Professional		$380.19	$501.19	$630.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $501.19 / $707.95	Facility		$407.38	$501.19	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $630.96 / $1,174.90	Facility		$338.84	$630.96	$1,174.90
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 $794.33 / $1,348.96 / $1,778.28	Facility		$794.33	$1,348.96	$1,778.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $380.19 / $537.03	Professional		$363.08	$380.19	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $724.44	Facility		$537.03	$537.03	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $537.03	Professional		$190.55	$190.55	$537.03