Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.09 / $1,516.09 / $2,645.54	Facility		$1,516.09	$1,516.09	$2,645.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $437.88 / $516.94 / $589.91	Professional		$437.88	$516.94	$589.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $988.28 / $988.28 / $1,767.04	Facility		$988.28	$988.28	$1,767.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $608.16 / $1,335.20 / $1,600.02	Professional		$608.16	$1,335.20	$1,600.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $450.05 / $589.91 / $1,337.97	Facility		$450.05	$589.91	$1,337.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $608.16 / $608.16 / $821.03	Professional		$608.16	$608.16	$821.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $608.16 / $638.58 / $851.44	Facility		$608.16	$638.58	$851.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $456.13 / $729.80 / $1,613.52	Facility		$456.13	$729.80	$1,613.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $668.99 / $668.99 / $851.44	Professional		$668.99	$668.99	$851.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,638.35 / $1,969.25 / $2,387.48	Facility		$1,638.35	$1,969.25	$2,387.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $971.99 / $1,425.97 / $1,913.11	Professional		$971.99	$1,425.97	$1,913.11
United Facility/Professional Professional Modifier Low / Median / High Price $255.43 / $255.43 / $638.58	Professional		$255.43	$255.43	$638.58