Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,352.82 / $1,428.53 / $1,590.15	Facility		$1,352.82	$1,428.53	$1,590.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.63 / $860.94 / $1,755.40	Professional		$413.63	$860.94	$1,755.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,561.32 / $1,561.32 / $1,561.32	Facility		$1,561.32	$1,561.32	$1,561.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $700.23 / $1,309.27 / $1,775.11	Professional		$700.23	$1,309.27	$1,775.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,274.86 / $1,483.19 / $1,726.83	Professional		$1,274.86	$1,483.19	$1,726.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.38 / $1,130.46 / $1,851.02	Facility		$676.38	$1,130.46	$1,851.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $791.00 / $1,018.93 / $1,949.88	Professional		$791.00	$1,018.93	$1,949.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $624.07 / $1,040.11 / $1,281.04	Facility		$624.07	$1,040.11	$1,281.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $957.95 / $1,645.84 / $2,198.80	Facility		$957.95	$1,645.84	$2,198.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $697.84 / $1,378.98 / $1,775.74	Professional		$697.84	$1,378.98	$1,775.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,518.75 / $1,853.66 / $2,232.77	Facility		$1,518.75	$1,853.66	$2,232.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,147.92 / $1,484.67 / $1,817.31	Professional		$1,147.92	$1,484.67	$1,817.31
United Facility/Professional Professional Modifier Low / Median / High Price $493.28 / $780.89 / $1,987.06	Professional		$493.28	$780.89	$1,987.06