Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,962.30 / $1,962.30 / $3,424.10	Facility		$1,962.30	$1,962.30	$3,424.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.75 / $669.08 / $763.54	Professional		$566.75	$669.08	$763.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,279.13 / $1,279.13 / $2,287.08	Facility		$1,279.13	$1,279.13	$2,287.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $787.15 / $1,727.95 / $2,070.66	Professional		$787.15	$1,727.95	$2,070.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $590.36 / $763.54 / $1,731.73	Facility		$590.36	$763.54	$1,731.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $787.15 / $787.15 / $1,062.65	Professional		$787.15	$787.15	$1,062.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $787.15 / $826.51 / $1,102.01	Facility		$787.15	$826.51	$1,102.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $708.44 / $944.58 / $2,006.94	Facility		$708.44	$944.58	$2,006.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $865.87 / $865.87 / $1,102.01	Professional		$865.87	$865.87	$1,102.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,574.30 / $2,548.79 / $3,090.11	Facility		$1,574.30	$2,548.79	$3,090.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,257.90 / $1,548.14 / $2,475.85	Professional		$1,257.90	$1,548.14	$2,475.85
United Facility/Professional Professional Modifier Low / Median / High Price $330.60 / $330.60 / $826.51	Professional		$330.60	$330.60	$826.51