Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,981.86 / $1,981.86 / $3,458.25	Facility		$1,981.86	$1,981.86	$3,458.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.40 / $675.75 / $771.15	Professional		$572.40	$675.75	$771.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,291.88 / $1,291.88 / $2,309.87	Facility		$1,291.88	$1,291.88	$2,309.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $795.00 / $1,745.72 / $2,091.94	Professional		$795.00	$1,745.72	$2,091.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.29 / $771.15 / $1,749.00	Facility		$588.29	$771.15	$1,749.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $795.00 / $795.00 / $1,073.25	Professional		$795.00	$795.00	$1,073.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $795.00 / $795.00 / $1,192.50	Facility		$795.00	$795.00	$1,192.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $954.00 / $2,309.87	Facility		$954.00	$954.00	$2,309.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $874.50 / $874.50 / $1,113.00	Professional		$874.50	$874.50	$1,113.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,141.65 / $2,574.21 / $3,120.93	Facility		$2,141.65	$2,574.21	$3,120.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,270.35 / $1,863.83 / $2,500.37	Professional		$1,270.35	$1,863.83	$2,500.37
United Facility/Professional Professional Modifier Low / Median / High Price $333.90 / $333.90 / $795.00	Professional		$333.90	$333.90	$795.00