Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,394.26 / $4,394.26 / $4,394.26	Facility		$4,394.26	$4,394.26	$4,394.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.39 / $906.42 / $1,129.63	Professional		$195.39	$906.42	$1,129.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.15 / $231.15 / $842.00	Facility		$231.15	$231.15	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.22 / $325.42 / $778.00	Professional		$139.22	$325.42	$778.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $328.76 / $390.53 / $451.80	Professional		$328.76	$390.53	$451.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $211.41 / $1,000.02 / $1,761.66	Facility		$211.41	$1,000.02	$1,761.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $219.48 / $328.76 / $415.40	Facility		$219.48	$328.76	$415.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $268.93 / $1,129.63 / $1,761.66	Facility		$268.93	$1,129.63	$1,761.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $325.42 / $342.31 / $1,261.15	Professional		$325.42	$342.31	$1,261.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $335.19 / $429.50 / $1,586.88	Professional		$335.19	$429.50	$1,586.88
United Facility/Professional Professional Modifier Low / Median / High Price $435.91 / $1,105.20 / $2,349.69	Professional		$435.91	$1,105.20	$2,349.69