Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $961.94 / $1,162.34 / $2,244.54	Facility		$961.94	$1,162.34	$2,244.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.23 / $777.57 / $1,788.36	Professional		$394.23	$777.57	$1,788.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,302.63 / $2,006.04 / $2,329.09	Facility		$1,302.63	$2,006.04	$2,329.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.11 / $845.00 / $1,438.10	Professional		$175.11	$845.00	$1,438.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $801.62 / $1,954.64 / $2,108.96	Professional		$801.62	$1,954.64	$2,108.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $322.35 / $647.04 / $1,671.78	Facility		$322.35	$647.04	$1,671.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $449.02 / $801.62 / $961.94	Professional		$449.02	$801.62	$961.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $721.46 / $841.70 / $1,769.58	Facility		$721.46	$841.70	$1,769.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $583.82 / $961.94 / $1,747.53	Facility		$583.82	$961.94	$1,747.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $426.14 / $881.78 / $1,122.27	Professional		$426.14	$881.78	$1,122.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,563.16 / $2,366.30 / $3,147.08	Facility		$1,563.16	$2,366.30	$3,147.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $337.27 / $717.79 / $1,975.76	Professional		$337.27	$717.79	$1,975.76
United Facility/Professional Professional Modifier Low / Median / High Price $188.40 / $336.68 / $961.94	Professional		$188.40	$336.68	$961.94