Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,892.24 / $1,892.24 / $3,301.87	Facility		$1,892.24	$1,892.24	$3,301.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.52 / $645.19 / $736.28	Professional		$546.52	$645.19	$736.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,233.45 / $1,233.45 / $2,205.41	Facility		$1,233.45	$1,233.45	$2,205.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $1,666.87 / $1,997.48	Professional		$759.05	$1,666.87	$1,997.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $561.70 / $736.28 / $1,669.91	Facility		$561.70	$736.28	$1,669.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $759.05 / $1,024.72	Professional		$759.05	$759.05	$1,024.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $759.05 / $797.00 / $1,062.67	Facility		$759.05	$797.00	$1,062.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $569.29 / $910.86 / $1,998.19	Facility		$569.29	$910.86	$1,998.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $834.96 / $834.96 / $1,062.67	Professional		$834.96	$834.96	$1,062.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,044.80 / $2,457.80 / $2,979.80	Facility		$2,044.80	$2,457.80	$2,979.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,212.96 / $1,779.54 / $2,387.39	Professional		$1,212.96	$1,779.54	$2,387.39
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $318.80 / $910.86	Professional		$318.80	$318.80	$910.86