Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,495.74 / $1,495.74 / $2,610.00	Facility		$1,495.74	$1,495.74	$2,610.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.97 / $444.00 / $582.00	Professional		$216.97	$444.00	$582.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $975.00 / $975.00 / $1,743.30	Facility		$975.00	$975.00	$1,743.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.08 / $241.08 / $241.08	Professional		$241.08	$241.08	$241.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $1,317.46 / $1,578.74	Professional		$600.00	$1,317.46	$1,578.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $582.00 / $1,251.30	Facility		$450.00	$582.00	$1,251.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $720.00 / $840.00	Professional		$600.00	$720.00	$840.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $672.00 / $1,050.00	Facility		$600.00	$672.00	$1,050.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $582.00 / $759.00 / $1,320.00	Facility		$582.00	$759.00	$1,320.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.49 / $660.00 / $834.00	Professional		$331.49	$660.00	$834.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $1,656.24 / $2,191.38	Facility		$1,050.00	$1,656.24	$2,191.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $959.00 / $1,130.21 / $1,887.53	Professional		$959.00	$1,130.21	$1,887.53
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $126.57 / $542.42	Professional		$126.57	$126.57	$542.42