Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,865.67 / $1,865.67 / $3,255.50	Facility		$1,865.67	$1,865.67	$3,255.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.84 / $636.13 / $636.13	Professional		$538.84	$636.13	$636.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,216.13 / $1,216.13 / $2,174.42	Facility		$1,216.13	$1,216.13	$2,174.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $748.39 / $1,643.44 / $1,969.38	Professional		$748.39	$1,643.44	$1,969.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $561.29 / $725.94 / $1,646.46	Facility		$561.29	$725.94	$1,646.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $748.39 / $748.39 / $1,010.33	Professional		$748.39	$748.39	$1,010.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $748.39 / $838.20 / $1,309.68	Facility		$748.39	$838.20	$1,309.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $725.94 / $991.62 / $1,892.40	Facility		$725.94	$991.62	$1,892.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $823.23 / $823.23 / $1,063.08	Professional		$823.23	$823.23	$1,063.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,459.36 / $2,277.35 / $2,937.95	Facility		$1,459.36	$2,277.35	$2,937.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,195.63 / $1,409.48 / $2,353.29	Professional		$1,195.63	$1,409.48	$2,353.29
United Facility/Professional Professional Modifier Low / Median / High Price $314.32 / $314.32 / $748.39	Professional		$314.32	$314.32	$748.39