Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,974.81 / $1,974.81 / $3,445.94	Facility		$1,974.81	$1,974.81	$3,445.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.36 / $768.41 / $768.41	Professional		$570.36	$768.41	$768.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,287.28 / $1,982.40 / $2,301.65	Facility		$1,287.28	$1,982.40	$2,301.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $791.93 / $910.25 / $1,137.82	Professional		$791.93	$910.25	$1,137.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $792.17 / $1,931.78 / $2,084.28	Professional		$792.17	$1,931.78	$2,084.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $586.21 / $845.25 / $1,652.08	Facility		$586.21	$845.25	$1,652.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $792.17 / $792.17 / $1,069.43	Professional		$792.17	$792.17	$1,069.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $792.17 / $792.17 / $1,109.04	Facility		$792.17	$792.17	$1,109.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $530.75 / $847.62 / $1,982.40	Facility		$530.75	$847.62	$1,982.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $752.56 / $871.39 / $1,109.04	Professional		$752.56	$871.39	$1,109.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,386.30 / $2,772.60 / $3,109.98	Facility		$1,386.30	$2,772.60	$3,109.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $542.44 / $873.76 / $1,952.79	Professional		$542.44	$873.76	$1,952.79
United Facility/Professional Professional Modifier Low / Median / High Price $332.71 / $332.71 / $950.60	Professional		$332.71	$332.71	$950.60