Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,057.83 / $1,227.08 / $2,369.56	Facility		$1,057.83	$1,227.08	$2,369.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $609.30 / $719.33 / $1,650.23	Professional		$609.30	$719.33	$1,650.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,375.20 / $1,375.20 / $2,458.86	Facility		$1,375.20	$1,375.20	$2,458.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.91 / $899.47 / $1,517.99	Professional		$393.91	$899.47	$1,517.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $1,857.93 / $2,226.41	Professional		$846.27	$1,857.93	$2,226.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $634.70 / $888.58 / $1,861.79	Facility		$634.70	$888.58	$1,861.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $846.27 / $1,142.46	Professional		$846.27	$846.27	$1,142.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $846.27 / $846.27 / $1,601.99	Facility		$846.27	$846.27	$1,601.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $888.58 / $1,070.53 / $2,054.25	Facility		$888.58	$1,070.53	$2,054.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $890.92 / $973.21 / $1,218.63	Professional		$890.92	$973.21	$1,218.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,650.23 / $2,575.19 / $3,496.28	Facility		$1,650.23	$2,575.19	$3,496.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,494.45 / $1,663.82 / $2,661.30	Professional		$1,494.45	$1,663.82	$2,661.30
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $355.43 / $1,015.52	Professional		$355.43	$355.43	$1,015.52