Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,041.74 / $2,089.30	Facility		$446.68	$2,041.74	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $346.74 / $446.68	Professional		$302.00	$346.74	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $1,348.96	Facility		$741.31	$741.31	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $524.81 / $660.69	Professional		$457.09	$524.81	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,000.00 / $1,174.90	Professional		$457.09	$1,000.00	$1,174.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $501.19 / $630.96	Professional		$457.09	$501.19	$630.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $645.65	Facility		$457.09	$457.09	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $549.54 / $1,202.26	Facility		$275.42	$549.54	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $478.63 / $630.96	Professional		$79.43	$478.63	$630.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,348.96 / $1,819.70	Facility		$691.83	$1,348.96	$1,819.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $416.87 / $549.54	Professional		$346.74	$416.87	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $741.31	Facility		$549.54	$549.54	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $549.54	Professional		$194.98	$194.98	$549.54