Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,651.74 / $1,651.74 / $2,882.22	Facility		$1,651.74	$1,651.74	$2,882.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.06 / $642.70 / $642.70	Professional		$477.06	$642.70	$642.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,076.70 / $1,658.12 / $1,925.14	Facility		$1,076.70	$1,658.12	$1,925.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.39 / $761.16 / $951.45	Professional		$662.39	$761.16	$951.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $662.58 / $1,615.46 / $1,743.00	Professional		$662.58	$1,615.46	$1,743.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $490.31 / $706.97 / $1,381.81	Facility		$490.31	$706.97	$1,381.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $662.58 / $662.58 / $894.48	Professional		$662.58	$662.58	$894.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $662.58 / $695.71 / $927.61	Facility		$662.58	$695.71	$927.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $443.93 / $708.96 / $1,658.12	Facility		$443.93	$708.96	$1,658.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $629.45 / $728.84 / $927.61	Professional		$629.45	$728.84	$927.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,159.52 / $2,319.03 / $2,601.21	Facility		$1,159.52	$2,319.03	$2,601.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $453.62 / $730.69 / $1,632.79	Professional		$453.62	$730.69	$1,632.79
United Facility/Professional Professional Modifier Low / Median / High Price $278.27 / $278.27 / $795.10	Professional		$278.27	$278.27	$795.10