Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,490.52 / $1,490.52 / $2,600.91	Facility		$1,490.52	$1,490.52	$2,600.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.50 / $508.22 / $579.97	Professional		$430.50	$508.22	$579.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $971.60 / $1,496.26 / $1,737.22	Facility		$971.60	$1,496.26	$1,737.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.78 / $349.78 / $349.78	Professional		$349.78	$349.78	$349.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $597.91 / $1,312.47 / $1,572.78	Professional		$597.91	$1,312.47	$1,572.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $448.43 / $627.80 / $1,315.40	Facility		$448.43	$627.80	$1,315.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $597.91 / $597.91 / $837.07	Professional		$597.91	$597.91	$837.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $597.91 / $669.66 / $1,046.33	Facility		$597.91	$669.66	$1,046.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $579.97 / $792.23 / $1,496.26	Facility		$579.97	$792.23	$1,496.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $657.70 / $657.70 / $837.07	Professional		$657.70	$657.70	$837.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,165.92 / $1,819.44 / $2,347.33	Facility		$1,165.92	$1,819.44	$2,347.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $955.21 / $1,175.90 / $1,880.07	Professional		$955.21	$1,175.90	$1,880.07
United Facility/Professional Facility Modifier Low / Median / High Price $896.87 / $896.87 / $956.66	Facility		$896.87	$896.87	$956.66
United Facility/Professional Professional Modifier Low / Median / High Price $251.12 / $251.12 / $597.91	Professional		$251.12	$251.12	$597.91