Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,850.40 / $1,850.40 / $3,228.87	Facility		$1,850.40	$1,850.40	$3,228.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $534.42 / $630.92 / $720.00	Professional		$534.42	$630.92	$720.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,206.20 / $1,206.20 / $2,156.69	Facility		$1,206.20	$1,206.20	$2,156.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $742.27 / $1,629.95 / $1,953.21	Professional		$742.27	$1,629.95	$1,953.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.28 / $720.00 / $1,632.99	Facility		$549.28	$720.00	$1,632.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $742.27 / $742.27 / $1,002.06	Professional		$742.27	$742.27	$1,002.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $742.27 / $742.27 / $1,057.58	Facility		$742.27	$742.27	$1,057.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $556.70 / $890.72 / $1,954.04	Facility		$556.70	$890.72	$1,954.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $816.50 / $816.50 / $1,039.18	Professional		$816.50	$816.50	$1,039.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,999.60 / $2,403.46 / $2,913.93	Facility		$1,999.60	$2,403.46	$2,913.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,185.89 / $1,740.52 / $2,334.10	Professional		$1,185.89	$1,740.52	$2,334.10
United Facility/Professional Professional Modifier Low / Median / High Price $311.75 / $311.75 / $779.38	Professional		$311.75	$311.75	$779.38