Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,686.13 / $1,686.13 / $2,942.21	Facility		$1,686.13	$1,686.13	$2,942.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.91 / $574.91 / $574.91	Professional		$574.91	$574.91	$574.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,099.09 / $1,099.09 / $1,965.19	Facility		$1,099.09	$1,099.09	$1,965.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.10 / $541.10 / $541.10	Professional		$541.10	$541.10	$541.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.37 / $1,485.07 / $1,779.59	Professional		$676.37	$1,485.07	$1,779.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $507.28 / $656.08 / $1,488.01	Facility		$507.28	$656.08	$1,488.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.37 / $676.37 / $913.10	Professional		$676.37	$676.37	$913.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.37 / $757.53 / $1,183.65	Facility		$676.37	$757.53	$1,183.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $656.08 / $896.19 / $1,647.55	Facility		$656.08	$896.19	$1,647.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $744.01 / $744.01 / $946.92	Professional		$744.01	$744.01	$946.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,352.74 / $2,058.19 / $2,655.36	Facility		$1,352.74	$2,058.19	$2,655.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,080.83 / $1,329.70 / $2,127.34	Professional		$1,080.83	$1,329.70	$2,127.34
United Facility/Professional Professional Modifier Low / Median / High Price $284.08 / $284.08 / $710.19	Professional		$284.08	$284.08	$710.19