Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,458.09 / $1,458.09 / $2,544.31	Facility		$1,458.09	$1,458.09	$2,544.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.13 / $497.17 / $567.35	Professional		$421.13	$497.17	$567.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $950.48 / $950.48 / $1,699.45	Facility		$950.48	$950.48	$1,699.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $1,284.08 / $1,538.74	Professional		$584.90	$1,284.08	$1,538.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $438.68 / $567.35 / $1,286.78	Facility		$438.68	$567.35	$1,286.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $584.90 / $789.62	Professional		$584.90	$584.90	$789.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $614.15 / $818.86	Facility		$584.90	$614.15	$818.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $526.41 / $701.88 / $1,490.68	Facility		$526.41	$701.88	$1,490.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $643.39 / $643.39 / $818.86	Professional		$643.39	$643.39	$818.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,169.80 / $1,893.91 / $2,296.14	Facility		$1,169.80	$1,893.91	$2,296.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $934.63 / $1,150.04 / $1,839.57	Professional		$934.63	$1,150.04	$1,839.57
United Facility/Professional Facility Modifier Low / Median / High Price $701.88 / $701.88 / $701.88	Facility		$701.88	$701.88	$701.88
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $245.66 / $614.15	Professional		$245.66	$245.66	$614.15