Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,760.60 / $1,760.60 / $1,760.60	Facility		$1,760.60	$1,760.60	$1,760.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.50 / $600.30 / $1,377.19	Professional		$508.50	$600.30	$1,377.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,147.65 / $1,147.65 / $1,147.65	Facility		$1,147.65	$1,147.65	$1,147.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $706.25 / $1,252.07 / $2,022.10	Professional		$706.25	$1,252.07	$2,022.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $522.63 / $685.06 / $1,553.75	Facility		$522.63	$685.06	$1,553.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $706.25 / $847.50 / $988.75	Professional		$706.25	$847.50	$988.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $706.25 / $706.25 / $988.75	Facility		$706.25	$706.25	$988.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $522.63 / $828.58 / $1,472.88	Facility		$522.63	$828.58	$1,472.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.88 / $776.88 / $1,017.00	Professional		$776.88	$776.88	$1,017.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,412.50 / $1,412.50 / $2,471.88	Facility		$1,412.50	$1,412.50	$2,471.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,128.49 / $1,187.88 / $2,225.98	Professional		$1,128.49	$1,187.88	$2,225.98
United Facility/Professional Professional Modifier Low / Median / High Price $296.63 / $296.63 / $1,271.25	Professional		$296.63	$296.63	$1,271.25