Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,090.30 / $3,090.30	Facility		$676.08	$3,090.30	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $537.03 / $831.76	Professional		$457.09	$537.03	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,995.26	Facility		$1,122.02	$1,122.02	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,479.11 / $1,819.70	Professional		$691.83	$1,479.11	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $758.58 / $977.24	Professional		$676.08	$758.58	$977.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $758.58 / $1,071.52	Facility		$616.60	$758.58	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $954.99 / $1,819.70	Facility		$512.86	$954.99	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $758.58 / $977.24	Professional		$79.43	$758.58	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,041.74 / $2,691.53	Facility		$1,047.13	$2,041.74	$2,691.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $588.84 / $831.76	Professional		$549.54	$588.84	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,096.48	Facility		$831.76	$831.76	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $831.76	Professional		$288.40	$288.40	$831.76