Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,146.36 / $1,146.36 / $2,000.39	Facility		$1,146.36	$1,146.36	$2,000.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.10 / $446.06 / $446.06	Professional		$331.10	$446.06	$446.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $747.28 / $1,150.80 / $1,336.13	Facility		$747.28	$1,150.80	$1,336.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.72 / $528.64 / $660.80	Professional		$459.72	$528.64	$660.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $459.86 / $1,121.68 / $1,210.22	Professional		$459.86	$1,121.68	$1,210.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.92 / $459.86 / $959.03	Facility		$275.92	$459.86	$959.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $459.86 / $459.86 / $620.80	Professional		$459.86	$459.86	$620.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $459.86 / $482.85 / $643.79	Facility		$459.86	$482.85	$643.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.92 / $490.67 / $1,150.80	Facility		$275.92	$490.67	$1,150.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.87 / $505.85 / $643.79	Professional		$436.87	$505.85	$643.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $919.72 / $1,489.03 / $1,805.27	Facility		$919.72	$1,489.03	$1,805.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $411.90 / $549.20 / $1,133.10	Professional		$411.90	$549.20	$1,133.10
United Facility/Professional Professional Modifier Low / Median / High Price $193.14 / $193.14 / $551.83	Professional		$193.14	$193.14	$551.83