Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,137.96 / $2,187.76	Facility		$467.74	$2,137.96	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $363.08 / $467.74	Professional		$141.25	$363.08	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $1,412.54	Facility		$776.25	$776.25	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,047.13 / $1,258.93	Professional		$478.63	$1,047.13	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $524.81 / $676.08	Professional		$467.74	$524.81	$676.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $478.63 / $724.44	Facility		$436.52	$478.63	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $676.08 / $1,258.93	Facility		$363.08	$676.08	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $524.81 / $676.08	Professional		$79.43	$524.81	$676.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,412.54 / $1,905.46	Facility		$724.44	$1,412.54	$1,905.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $407.38 / $575.44	Professional		$389.05	$407.38	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $776.25	Facility		$575.44	$575.44	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $288.40	Professional		$87.10	$87.10	$288.40