Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,254.93 / $1,254.93 / $2,189.79	Facility		$1,254.93	$1,254.93	$2,189.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.45 / $427.89 / $453.06	Professional		$362.45	$427.89	$453.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $818.03 / $1,259.76 / $1,462.63	Facility		$818.03	$1,259.76	$1,462.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $503.25 / $578.20 / $722.75	Professional		$503.25	$578.20	$722.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $503.40 / $1,227.38 / $1,324.27	Professional		$503.40	$1,227.38	$1,324.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.04 / $503.40 / $1,049.84	Facility		$302.04	$503.40	$1,049.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $503.40 / $503.40 / $679.59	Professional		$503.40	$503.40	$679.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $503.40 / $528.57 / $704.76	Facility		$503.40	$528.57	$704.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.04 / $578.91 / $1,259.76	Facility		$302.04	$578.91	$1,259.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $478.23 / $553.74 / $704.76	Professional		$478.23	$553.74	$704.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $981.63 / $1,531.85 / $1,976.20	Facility		$981.63	$1,531.85	$1,976.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $450.71 / $600.95 / $1,240.59	Professional		$450.71	$600.95	$1,240.59
United Facility/Professional Facility Modifier Low / Median / High Price $755.10 / $755.10 / $805.44	Facility		$755.10	$755.10	$805.44
United Facility/Professional Professional Modifier Low / Median / High Price $211.43 / $211.43 / $604.08	Professional		$211.43	$211.43	$604.08