Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $856.69 / $938.32 / $1,056.61	Facility		$856.69	$938.32	$1,056.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.64 / $532.97 / $1,515.98	Professional		$261.64	$532.97	$1,515.98
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 $580.34 / $902.43 / $1,169.72	Professional		$580.34	$902.43	$1,169.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $848.62 / $998.97 / $1,149.47	Professional		$848.62	$998.97	$1,149.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $532.97 / $788.56 / $996.87	Facility		$532.97	$788.56	$996.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $574.77 / $725.13 / $1,269.75	Professional		$574.77	$725.13	$1,269.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $506.16 / $743.70 / $847.55	Facility		$506.16	$743.70	$847.55
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $269.02 / $298.92 / $346.73	Professional		$269.02	$298.92	$346.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $709.20 / $1,032.38 / $1,454.75	Facility		$709.20	$1,032.38	$1,454.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $637.79 / $885.50 / $1,219.90	Professional		$637.79	$885.50	$1,219.90
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 $747.53 / $972.87 / $1,183.43	Professional		$747.53	$972.87	$1,183.43
United Facility/Professional Professional Modifier Low / Median / High Price $488.25 / $522.77 / $1,328.81	Professional		$488.25	$522.77	$1,328.81