Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,039.00 / $1,039.00 / $1,812.99	Facility		$1,039.00	$1,039.00	$1,812.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.08 / $354.26 / $404.28	Professional		$300.08	$354.26	$404.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $677.28 / $677.28 / $1,210.97	Facility		$677.28	$677.28	$1,210.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $914.76 / $1,096.20	Professional		$416.78	$914.76	$1,096.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $308.42 / $404.28 / $916.92	Facility		$308.42	$404.28	$916.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $562.65	Professional		$416.78	$416.78	$562.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $416.78 / $593.83	Facility		$416.78	$416.78	$593.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $312.58 / $500.14 / $1,097.19	Facility		$312.58	$500.14	$1,097.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $458.46 / $458.46 / $583.49	Professional		$458.46	$458.46	$583.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,122.76 / $1,349.53 / $1,636.15	Facility		$1,122.76	$1,349.53	$1,636.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $666.05 / $977.19 / $1,310.93	Professional		$666.05	$977.19	$1,310.93
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $175.05 / $500.14	Professional		$175.05	$175.05	$500.14