Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,807.35 / $1,807.35 / $3,153.75	Facility		$1,807.35	$1,807.35	$3,153.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.00 / $616.25 / $703.25	Professional		$522.00	$616.25	$703.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,178.13 / $1,178.13 / $2,106.48	Facility		$1,178.13	$1,178.13	$2,106.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $725.00 / $1,591.60 / $1,907.26	Professional		$725.00	$1,591.60	$1,907.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $543.75 / $703.25 / $1,595.00	Facility		$543.75	$703.25	$1,595.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $725.00 / $725.00 / $978.75	Professional		$725.00	$725.00	$978.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $725.00 / $761.25 / $1,015.00	Facility		$725.00	$761.25	$1,015.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $652.50 / $870.00 / $1,848.41	Facility		$652.50	$870.00	$1,848.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $797.50 / $797.50 / $1,015.00	Professional		$797.50	$797.50	$1,015.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $2,347.55 / $2,846.13	Facility		$1,450.00	$2,347.55	$2,846.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,158.27 / $1,425.65 / $2,279.75	Professional		$1,158.27	$1,425.65	$2,279.75
United Facility/Professional Professional Modifier Low / Median / High Price $304.50 / $304.50 / $870.00	Professional		$304.50	$304.50	$870.00