Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,167.50 / $1,167.50 / $2,037.24	Facility		$1,167.50	$1,167.50	$2,037.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.20 / $398.08 / $398.08	Professional		$337.20	$398.08	$398.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.03 / $761.03 / $1,360.71	Facility		$761.03	$761.03	$1,360.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $468.33 / $1,028.39 / $1,232.35	Professional		$468.33	$1,028.39	$1,232.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $351.25 / $454.28 / $1,030.33	Facility		$351.25	$454.28	$1,030.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $468.33 / $468.33 / $632.25	Professional		$468.33	$468.33	$632.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $468.33 / $524.53 / $819.58	Facility		$468.33	$524.53	$819.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $454.28 / $620.54 / $1,184.41	Facility		$454.28	$620.54	$1,184.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $515.16 / $515.16 / $665.26	Professional		$515.16	$515.16	$665.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $913.24 / $1,425.13 / $1,838.52	Facility		$913.24	$1,425.13	$1,838.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $748.35 / $881.83 / $1,472.94	Professional		$748.35	$881.83	$1,472.94
United Facility/Professional Professional Modifier Low / Median / High Price $196.70 / $196.70 / $468.33	Professional		$196.70	$196.70	$468.33