Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.47 / $1,924.47 / $3,358.11	Facility		$1,924.47	$1,924.47	$3,358.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.83 / $656.18 / $694.78	Professional		$555.83	$656.18	$694.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,254.48 / $1,931.89 / $2,243.00	Facility		$1,254.48	$1,931.89	$2,243.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.75 / $887.12 / $1,108.91	Professional		$771.75	$887.12	$1,108.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $771.98 / $1,882.86 / $2,031.52	Professional		$771.98	$1,882.86	$2,031.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $463.18 / $771.98 / $1,609.96	Facility		$463.18	$771.98	$1,609.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $771.98 / $771.98 / $1,042.17	Professional		$771.98	$771.98	$1,042.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $771.98 / $872.34 / $1,350.97	Facility		$771.98	$872.34	$1,350.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $463.18 / $887.78 / $1,931.89	Facility		$463.18	$887.78	$1,931.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $733.38 / $849.18 / $1,080.77	Professional		$733.38	$849.18	$1,080.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,505.36 / $2,349.14 / $3,030.56	Facility		$1,505.36	$2,349.14	$3,030.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $691.43 / $921.90 / $1,902.74	Professional		$691.43	$921.90	$1,902.74
United Facility/Professional Professional Modifier Low / Median / High Price $324.23 / $324.23 / $926.38	Professional		$324.23	$324.23	$926.38