Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,776.13 / $1,776.13 / $3,099.24	Facility		$1,776.13	$1,776.13	$3,099.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.98 / $691.10 / $691.10	Professional		$512.98	$691.10	$691.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,157.78 / $1,782.97 / $2,070.10	Facility		$1,157.78	$1,782.97	$2,070.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $712.26 / $818.98 / $1,023.72	Professional		$712.26	$818.98	$1,023.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $712.47 / $1,737.73 / $1,874.92	Professional		$712.47	$1,737.73	$1,874.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $427.48 / $712.47 / $1,485.87	Facility		$427.48	$712.47	$1,485.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $712.47 / $712.47 / $961.83	Professional		$712.47	$712.47	$961.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $712.47 / $748.09 / $997.46	Facility		$712.47	$748.09	$997.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $427.48 / $712.47 / $1,875.60	Facility		$427.48	$712.47	$1,875.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.85 / $783.72 / $997.46	Professional		$676.85	$783.72	$997.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,919.32 / $2,306.98 / $2,796.94	Facility		$1,919.32	$2,306.98	$2,796.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $638.13 / $850.84 / $1,755.87	Professional		$638.13	$850.84	$1,755.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,068.71 / $1,068.71 / $1,139.95	Facility		$1,068.71	$1,068.71	$1,139.95
United Facility/Professional Professional Modifier Low / Median / High Price $299.24 / $299.24 / $854.96	Professional		$299.24	$299.24	$854.96