Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,089.30 / $2,089.30	Facility		$457.09	$2,089.30	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $354.81 / $457.09	Professional		$288.40	$354.81	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,348.96	Facility		$758.58	$758.58	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,000.00 / $1,230.27	Professional		$467.74	$1,000.00	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $512.86 / $645.65	Professional		$457.09	$512.86	$645.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $645.65	Facility		$467.74	$467.74	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $645.65 / $1,202.26	Facility		$346.74	$645.65	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $512.86 / $645.65	Professional		$79.43	$512.86	$645.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,380.38 / $1,819.70	Facility		$691.83	$1,380.38	$1,819.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $398.11 / $562.34	Professional		$371.54	$398.11	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $741.31	Facility		$562.34	$562.34	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $562.34	Professional		$194.98	$194.98	$562.34