Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $602.56 / $691.83	Professional		$524.81	$602.56	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,230.27 / $2,041.74	Professional		$707.95	$1,230.27	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $707.95 / $707.95	Facility		$691.83	$707.95	$707.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $851.14 / $1,023.29	Professional		$691.83	$851.14	$1,023.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,000.00	Facility		$707.95	$707.95	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $831.76 / $1,548.82	Facility		$489.78	$831.76	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $776.25 / $1,023.29	Professional		$79.43	$776.25	$1,023.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,454.71	Facility		$1,412.54	$1,412.54	$2,454.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $602.56 / $851.14	Professional		$549.54	$602.56	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $1,000.00	Professional		$295.12	$295.12	$1,000.00