Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,126.04 / $1,126.04 / $1,126.04	Facility		$1,126.04	$1,126.04	$1,126.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.13 / $246.92 / $289.47	Professional		$144.13	$246.92	$289.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.49 / $1,202.49 / $2,341.30	Facility		$1,202.49	$1,202.49	$2,341.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.62 / $544.58 / $685.83	Professional		$416.62	$544.58	$685.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $256.98 / $289.47 / $622.36	Facility		$256.98	$289.47	$622.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,240.07 / $1,240.07 / $1,908.35	Professional		$1,240.07	$1,240.07	$1,908.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $423.71 / $788.65 / $1,173.39	Facility		$423.71	$788.65	$1,173.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $254.83 / $289.47 / $622.36	Facility		$254.83	$289.47	$622.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.14 / $528.91 / $553.37	Professional		$331.14	$528.91	$553.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,251.91 / $2,955.33 / $3,590.10	Facility		$2,251.91	$2,955.33	$3,590.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $395.84 / $601.77 / $779.10	Professional		$395.84	$601.77	$779.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $372.80 / $539.83 / $757.33	Professional		$372.80	$539.83	$757.33