Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.13 / $2,236.13 / $3,901.95	Facility		$2,236.13	$2,236.13	$3,901.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.84 / $870.09 / $870.09	Professional		$645.84	$870.09	$870.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,457.63 / $2,244.73 / $2,606.23	Facility		$1,457.63	$2,244.73	$2,606.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $896.73 / $1,030.84 / $1,288.56	Professional		$896.73	$1,030.84	$1,288.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $897.00 / $2,187.34 / $2,360.04	Professional		$897.00	$2,187.34	$2,360.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $538.20 / $897.00 / $1,870.69	Facility		$538.20	$897.00	$1,870.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $897.00 / $897.00 / $1,210.95	Professional		$897.00	$897.00	$1,210.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $897.00 / $897.00 / $1,255.80	Facility		$897.00	$897.00	$1,255.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $538.20 / $897.00 / $1,870.69	Facility		$538.20	$897.00	$1,870.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $852.15 / $986.70 / $1,255.80	Professional		$852.15	$986.70	$1,255.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,416.42 / $2,904.49 / $3,521.35	Facility		$2,416.42	$2,904.49	$3,521.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $803.24 / $1,070.98 / $2,211.25	Professional		$803.24	$1,070.98	$2,211.25
United Facility/Professional Professional Modifier Low / Median / High Price $376.74 / $376.74 / $1,076.40	Professional		$376.74	$376.74	$1,076.40