Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,065.10 / $1,065.10 / $1,858.58	Facility		$1,065.10	$1,065.10	$1,858.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.63 / $363.17 / $401.62	Professional		$307.63	$363.17	$401.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $694.30 / $694.30 / $1,241.41	Facility		$694.30	$694.30	$1,241.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.95 / $249.95 / $249.95	Professional		$249.95	$249.95	$249.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $427.26 / $938.21 / $1,124.27	Professional		$427.26	$938.21	$1,124.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $320.45 / $414.44 / $939.97	Facility		$320.45	$414.44	$939.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $427.26 / $469.99 / $598.16	Professional		$427.26	$469.99	$598.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $427.26 / $469.99 / $747.71	Facility		$427.26	$469.99	$747.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $414.44 / $566.12 / $1,037.50	Facility		$414.44	$566.12	$1,037.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $469.99 / $469.99 / $598.16	Professional		$469.99	$469.99	$598.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $854.52 / $1,300.15 / $1,677.38	Facility		$854.52	$1,300.15	$1,677.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $682.83 / $840.42 / $1,343.97	Professional		$682.83	$840.42	$1,343.97
United Facility/Professional Professional Modifier Low / Median / High Price $179.45 / $179.45 / $427.26	Professional		$179.45	$179.45	$427.26