Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,794.89 / $1,794.89 / $3,132.00	Facility		$1,794.89	$1,794.89	$3,132.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.40 / $698.40 / $698.40	Professional		$518.40	$698.40	$698.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,170.00 / $1,801.80 / $2,091.96	Facility		$1,170.00	$1,801.80	$2,091.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $719.78 / $827.24 / $1,034.05	Professional		$719.78	$827.24	$1,034.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $1,755.86 / $1,894.50	Professional		$720.00	$1,755.86	$1,894.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $720.00 / $1,501.56	Facility		$432.00	$720.00	$1,501.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $720.00 / $972.00	Professional		$720.00	$720.00	$972.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $756.00 / $1,008.00	Facility		$720.00	$756.00	$1,008.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $768.24 / $1,801.80	Facility		$432.00	$768.24	$1,801.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $792.00 / $1,008.00	Professional		$684.00	$792.00	$1,008.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $2,331.36 / $2,826.50	Facility		$1,440.00	$2,331.36	$2,826.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $644.79 / $859.72 / $1,774.74	Professional		$644.79	$859.72	$1,774.74
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $302.39 / $864.00	Professional		$302.39	$302.39	$864.00