Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,269.36 / $1,269.36 / $2,215.02	Facility		$1,269.36	$1,269.36	$2,215.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.62 / $458.28 / $493.92	Professional		$366.62	$458.28	$493.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $827.45 / $1,274.27 / $1,479.48	Facility		$827.45	$1,274.27	$1,479.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $509.05 / $585.22 / $731.53	Professional		$509.05	$585.22	$731.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $509.20 / $1,241.58 / $1,339.58	Professional		$509.20	$1,241.58	$1,339.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $305.52 / $509.20 / $1,061.93	Facility		$305.52	$509.20	$1,061.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $509.20 / $509.20 / $687.42	Professional		$509.20	$509.20	$687.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $509.20 / $575.40 / $891.10	Facility		$509.20	$575.40	$891.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $305.52 / $585.58 / $1,274.27	Facility		$305.52	$585.58	$1,274.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $483.74 / $560.12 / $712.88	Professional		$483.74	$560.12	$712.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $992.94 / $1,549.50 / $1,998.97	Facility		$992.94	$1,549.50	$1,998.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $455.93 / $607.91 / $1,255.36	Professional		$455.93	$607.91	$1,255.36
United Facility/Professional Professional Modifier Low / Median / High Price $213.86 / $213.86 / $611.04	Professional		$213.86	$213.86	$611.04