Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,212.89 / $1,212.89 / $2,116.44	Facility		$1,212.89	$1,212.89	$2,116.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.31 / $413.56 / $471.94	Professional		$350.31	$413.56	$471.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $790.63 / $790.63 / $1,413.64	Facility		$790.63	$790.63	$1,413.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $486.54 / $1,068.16 / $1,280.02	Professional		$486.54	$1,068.16	$1,280.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $364.91 / $471.94 / $1,070.39	Facility		$364.91	$471.94	$1,070.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $486.54 / $486.54 / $656.83	Professional		$486.54	$486.54	$656.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $486.54 / $535.19 / $851.45	Facility		$486.54	$535.19	$851.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $437.89 / $583.85 / $1,240.84	Facility		$437.89	$583.85	$1,240.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $535.19 / $535.19 / $681.16	Professional		$535.19	$535.19	$681.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $973.08 / $1,575.42 / $1,910.01	Facility		$973.08	$1,575.42	$1,910.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $777.59 / $956.78 / $1,530.49	Professional		$777.59	$956.78	$1,530.49
United Facility/Professional Facility Modifier Low / Median / High Price $729.81 / $729.81 / $778.46	Facility		$729.81	$729.81	$778.46
United Facility/Professional Professional Modifier Low / Median / High Price $204.35 / $204.35 / $583.85	Professional		$204.35	$204.35	$583.85