Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,109.66 / $2,109.66 / $3,681.27	Facility		$2,109.66	$2,109.66	$3,681.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $609.30 / $719.33 / $820.88	Professional		$609.30	$719.33	$820.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,375.20 / $1,375.20 / $2,458.86	Facility		$1,375.20	$1,375.20	$2,458.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $1,857.93 / $2,226.41	Professional		$846.27	$1,857.93	$2,226.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $634.70 / $820.88 / $1,861.79	Facility		$634.70	$820.88	$1,861.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $846.27 / $1,142.46	Professional		$846.27	$846.27	$1,142.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $846.27 / $888.58 / $1,184.78	Facility		$846.27	$888.58	$1,184.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $761.64 / $1,015.52 / $2,157.17	Facility		$761.64	$1,015.52	$2,157.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $930.90 / $930.90 / $1,184.78	Professional		$930.90	$930.90	$1,184.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,692.54 / $2,740.22 / $3,322.20	Facility		$1,692.54	$2,740.22	$3,322.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,352.13 / $1,663.82 / $2,661.30	Professional		$1,352.13	$1,663.82	$2,661.30
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $355.43 / $1,015.52	Professional		$355.43	$355.43	$1,015.52