Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,892.24 / $1,892.24 / $3,301.87	Facility		$1,892.24	$1,892.24	$3,301.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.52 / $645.19 / $736.28	Professional		$546.52	$645.19	$736.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,233.45 / $1,233.45 / $2,205.41	Facility		$1,233.45	$1,233.45	$2,205.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.04 / $444.04 / $444.04	Professional		$444.04	$444.04	$444.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $1,666.87 / $1,997.48	Professional		$759.05	$1,666.87	$1,997.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $569.29 / $736.28 / $1,669.91	Facility		$569.29	$736.28	$1,669.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $834.96 / $1,062.67	Professional		$759.05	$834.96	$1,062.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $759.05 / $850.14 / $1,328.34	Facility		$759.05	$850.14	$1,328.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $910.86 / $1,005.74 / $1,998.19	Facility		$910.86	$1,005.74	$1,998.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $834.96 / $834.96 / $1,062.67	Professional		$834.96	$834.96	$1,062.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,518.10 / $2,309.79 / $2,979.95	Facility		$1,518.10	$2,309.79	$2,979.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,212.96 / $1,492.34 / $2,387.39	Professional		$1,212.96	$1,492.34	$2,387.39
United Facility/Professional Facility Modifier Low / Median / High Price $910.86 / $910.86 / $910.86	Facility		$910.86	$910.86	$910.86
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $318.80 / $759.05	Professional		$318.80	$318.80	$759.05