Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,850.40 / $1,850.40 / $3,228.87	Facility		$1,850.40	$1,850.40	$3,228.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $534.42 / $630.92 / $720.00	Professional		$534.42	$630.92	$720.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,206.20 / $1,206.20 / $2,156.69	Facility		$1,206.20	$1,206.20	$2,156.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.82 / $593.82 / $593.82	Professional		$593.82	$593.82	$593.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $742.27 / $1,629.95 / $1,953.21	Professional		$742.27	$1,629.95	$1,953.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $556.70 / $720.00 / $1,632.99	Facility		$556.70	$720.00	$1,632.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $742.27 / $742.27 / $1,002.06	Professional		$742.27	$742.27	$1,002.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $742.27 / $831.34 / $1,298.97	Facility		$742.27	$831.34	$1,298.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $983.51 / $1,807.74	Facility		$720.00	$983.51	$1,807.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $816.50 / $816.50 / $1,054.39	Professional		$816.50	$816.50	$1,054.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,484.54 / $2,258.73 / $2,914.08	Facility		$1,484.54	$2,258.73	$2,914.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,185.89 / $1,459.67 / $2,334.10	Professional		$1,185.89	$1,459.67	$2,334.10
United Facility/Professional Professional Modifier Low / Median / High Price $311.75 / $311.75 / $742.27	Professional		$311.75	$311.75	$742.27