Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,156.10 / $1,156.10 / $2,017.36	Facility		$1,156.10	$1,156.10	$2,017.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.91 / $449.85 / $449.85	Professional		$333.91	$449.85	$449.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $753.60 / $1,160.54 / $1,347.44	Facility		$753.60	$1,160.54	$1,347.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.61 / $533.17 / $666.48	Professional		$463.61	$533.17	$666.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $463.76 / $1,131.13 / $1,220.45	Professional		$463.76	$1,131.13	$1,220.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $278.26 / $463.76 / $967.18	Facility		$278.26	$463.76	$967.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $463.76 / $463.76 / $626.08	Professional		$463.76	$463.76	$626.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $463.76 / $486.95 / $649.26	Facility		$463.76	$486.95	$649.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $278.26 / $494.84 / $1,160.54	Facility		$278.26	$494.84	$1,160.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $440.57 / $510.14 / $649.26	Professional		$440.57	$510.14	$649.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $927.52 / $1,501.65 / $1,820.58	Facility		$927.52	$1,501.65	$1,820.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $415.38 / $553.84 / $1,142.96	Professional		$415.38	$553.84	$1,142.96
United Facility/Professional Professional Modifier Low / Median / High Price $194.78 / $194.78 / $556.51	Professional		$194.78	$194.78	$556.51