Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,980.60 / $1,980.60 / $3,456.03	Facility		$1,980.60	$1,980.60	$3,456.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.03 / $675.32 / $770.66	Professional		$572.03	$675.32	$770.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,291.05 / $1,291.05 / $2,308.40	Facility		$1,291.05	$1,291.05	$2,308.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.49 / $1,744.29 / $2,090.25	Professional		$794.49	$1,744.29	$2,090.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $595.87 / $834.21 / $1,747.88	Facility		$595.87	$834.21	$1,747.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $794.49 / $794.49 / $1,072.56	Professional		$794.49	$794.49	$1,072.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $794.49 / $834.21 / $1,112.29	Facility		$794.49	$834.21	$1,112.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $754.77 / $953.39 / $2,185.39	Facility		$754.77	$953.39	$2,185.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $873.94 / $873.94 / $1,112.29	Professional		$873.94	$873.94	$1,112.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,390.36 / $2,780.72 / $3,119.09	Facility		$1,390.36	$2,780.72	$3,119.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $953.39 / $1,958.53 / $2,503.96	Professional		$953.39	$1,958.53	$2,503.96
United Facility/Professional Professional Modifier Low / Median / High Price $333.69 / $333.69 / $953.39	Professional		$333.69	$333.69	$953.39