Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,337.77 / $2,998.98 / $3,241.26	Facility		$1,337.77	$2,998.98	$3,241.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.22 / $673.52 / $2,419.21	Professional		$581.22	$673.52	$2,419.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $910.12 / $1,359.52 / $1,751.52	Professional		$910.12	$1,359.52	$1,751.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,240.88 / $1,492.17 / $1,680.79	Professional		$1,240.88	$1,492.17	$1,680.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $805.46 / $1,321.65 / $1,731.74	Facility		$805.46	$1,321.65	$1,731.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $997.50 / $1,139.32 / $1,940.73	Professional		$997.50	$1,139.32	$1,940.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $866.77 / $1,207.17 / $1,283.72	Facility		$866.77	$1,207.17	$1,283.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,151.81 / $1,597.13 / $2,203.40	Facility		$1,151.81	$1,597.13	$2,203.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,043.71 / $1,404.77 / $1,858.52	Professional		$1,043.71	$1,404.77	$1,858.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,142.54 / $1,487.77 / $1,808.78	Professional		$1,142.54	$1,487.77	$1,808.78
United Facility/Professional Professional Modifier Low / Median / High Price $793.68 / $831.68 / $2,030.99	Professional		$793.68	$831.68	$2,030.99