Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.13 / $1,105.13 / $1,928.40	Facility		$1,105.13	$1,105.13	$1,928.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.18 / $376.81 / $430.01	Professional		$319.18	$376.81	$430.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $720.38 / $720.38 / $1,288.03	Facility		$720.38	$720.38	$1,288.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $443.31 / $973.70 / $1,166.83	Professional		$443.31	$973.70	$1,166.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $332.48 / $465.48 / $975.28	Facility		$332.48	$465.48	$975.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $443.31 / $443.31 / $598.47	Professional		$443.31	$443.31	$598.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $443.31 / $465.48 / $620.63	Facility		$443.31	$465.48	$620.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $421.14 / $531.97 / $1,219.27	Facility		$421.14	$531.97	$1,219.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $487.64 / $487.64 / $620.63	Professional		$487.64	$487.64	$620.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $775.79 / $1,551.59 / $1,740.39	Facility		$775.79	$1,551.59	$1,740.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $531.97 / $1,092.91 / $1,397.27	Professional		$531.97	$1,092.91	$1,397.27
United Facility/Professional Professional Modifier Low / Median / High Price $186.19 / $186.19 / $465.48	Professional		$186.19	$186.19	$465.48