Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,095.66 / $2,095.66 / $3,656.83	Facility		$2,095.66	$2,095.66	$3,656.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.27 / $815.43 / $815.43	Professional		$605.27	$815.43	$815.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,366.05 / $2,103.71 / $2,442.50	Facility		$1,366.05	$2,103.71	$2,442.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.39 / $966.01 / $1,207.51	Professional		$840.39	$966.01	$1,207.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $840.65 / $2,050.10 / $2,211.94	Professional		$840.65	$2,050.10	$2,211.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $504.39 / $840.65 / $1,753.17	Facility		$504.39	$840.65	$1,753.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $840.65 / $840.65 / $1,134.88	Professional		$840.65	$840.65	$1,134.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $840.65 / $949.93 / $1,471.14	Facility		$840.65	$949.93	$1,471.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,008.78 / $1,168.50 / $2,437.89	Facility		$1,008.78	$1,168.50	$2,437.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $798.62 / $924.72 / $1,176.91	Professional		$798.62	$924.72	$1,176.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,639.27 / $2,558.10 / $3,300.14	Facility		$1,639.27	$2,558.10	$3,300.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $752.84 / $1,003.78 / $2,071.76	Professional		$752.84	$1,003.78	$2,071.76
United Facility/Professional Professional Modifier Low / Median / High Price $353.07 / $353.07 / $1,008.78	Professional		$353.07	$353.07	$1,008.78