Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,124.07 / $1,124.07 / $1,961.46	Facility		$1,124.07	$1,124.07	$1,961.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.66 / $383.27 / $437.38	Professional		$324.66	$383.27	$437.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $732.73 / $732.73 / $1,310.10	Facility		$732.73	$732.73	$1,310.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.73 / $360.73 / $360.73	Professional		$360.73	$360.73	$360.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $450.91 / $990.05 / $1,186.39	Professional		$450.91	$990.05	$1,186.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.18 / $437.38 / $992.00	Facility		$338.18	$437.38	$992.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $450.91 / $450.91 / $608.73	Professional		$450.91	$450.91	$608.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $450.91 / $505.02 / $789.09	Facility		$450.91	$505.02	$789.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $437.38 / $597.46 / $1,098.08	Facility		$437.38	$597.46	$1,098.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $496.00 / $496.00 / $631.27	Professional		$496.00	$496.00	$631.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $901.82 / $1,372.12 / $1,770.23	Facility		$901.82	$1,372.12	$1,770.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $720.74 / $886.69 / $1,418.58	Professional		$720.74	$886.69	$1,418.58
United Facility/Professional Professional Modifier Low / Median / High Price $189.38 / $189.38 / $450.91	Professional		$189.38	$189.38	$450.91