Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,015.69 / $1,015.69 / $1,772.32	Facility		$1,015.69	$1,015.69	$1,772.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.35 / $346.32 / $346.32	Professional		$293.35	$346.32	$346.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $662.08 / $662.08 / $1,183.79	Facility		$662.08	$662.08	$1,183.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.43 / $894.87 / $1,072.36	Professional		$407.43	$894.87	$1,072.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $305.57 / $395.21 / $896.35	Facility		$305.57	$395.21	$896.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.43 / $407.43 / $550.03	Professional		$407.43	$407.43	$550.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $407.43 / $456.32 / $713.00	Facility		$407.43	$456.32	$713.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $395.21 / $539.84 / $1,030.85	Facility		$395.21	$539.84	$1,030.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $448.17 / $448.17 / $570.40	Professional		$448.17	$448.17	$570.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $794.49 / $1,239.81 / $1,599.45	Facility		$794.49	$1,239.81	$1,599.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $650.88 / $767.49 / $1,281.08	Professional		$650.88	$767.49	$1,281.08
United Facility/Professional Professional Modifier Low / Median / High Price $171.12 / $171.12 / $427.80	Professional		$171.12	$171.12	$427.80