Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,582.58 / $1,582.58 / $2,761.55	Facility		$1,582.58	$1,582.58	$2,761.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.08 / $539.61 / $615.79	Professional		$457.08	$539.61	$615.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,031.63 / $1,031.63 / $1,844.55	Facility		$1,031.63	$1,031.63	$1,844.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $634.84 / $1,394.15 / $1,670.65	Professional		$634.84	$1,394.15	$1,670.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $469.78 / $615.79 / $1,396.65	Facility		$469.78	$615.79	$1,396.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $634.84 / $634.84 / $857.03	Professional		$634.84	$634.84	$857.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $634.84 / $634.84 / $952.26	Facility		$634.84	$634.84	$952.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $476.13 / $761.81 / $1,671.23	Facility		$476.13	$761.81	$1,671.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $698.32 / $698.32 / $888.78	Professional		$698.32	$698.32	$888.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,710.20 / $2,055.61 / $2,492.19	Facility		$1,710.20	$2,055.61	$2,492.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,014.23 / $1,488.41 / $1,996.24	Professional		$1,014.23	$1,488.41	$1,996.24
United Facility/Professional Professional Modifier Low / Median / High Price $266.63 / $266.63 / $761.81	Professional		$266.63	$266.63	$761.81