Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.74 / $1,233.50 / $1,388.25	Facility		$1,129.74	$1,233.50	$1,388.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.92 / $699.79 / $2,050.38	Professional		$345.92	$699.79	$2,050.38
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 $767.28 / $1,192.27 / $1,533.01	Professional		$767.28	$1,192.27	$1,533.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,112.19 / $1,312.15 / $1,506.48	Professional		$1,112.19	$1,312.15	$1,506.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $699.79 / $1,063.05 / $1,320.83	Facility		$699.79	$1,063.05	$1,320.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $731.43 / $953.82 / $1,667.25	Professional		$731.43	$953.82	$1,667.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $713.93 / $992.27 / $1,113.54	Facility		$713.93	$992.27	$1,113.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $369.24 / $369.24 / $466.88	Professional		$369.24	$369.24	$466.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $958.71 / $1,356.07 / $1,911.30	Facility		$958.71	$1,356.07	$1,911.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $842.58 / $1,176.10 / $1,612.14	Professional		$842.58	$1,176.10	$1,612.14
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 $981.54 / $1,277.90 / $1,553.90	Professional		$981.54	$1,277.90	$1,553.90
United Facility/Professional Professional Modifier Low / Median / High Price $655.21 / $689.93 / $1,744.79	Professional		$655.21	$689.93	$1,744.79