Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $802.31 / $930.68 / $1,797.18	Facility		$802.31	$930.68	$1,797.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.83 / $545.57 / $962.77	Professional		$287.83	$545.57	$962.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,043.00 / $1,043.00 / $1,864.88	Facility		$1,043.00	$1,043.00	$1,864.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.76 / $707.86 / $1,151.42	Professional		$562.76	$707.86	$1,151.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $641.85 / $1,409.07 / $1,688.54	Professional		$641.85	$1,409.07	$1,688.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $481.39 / $673.94 / $1,338.57	Facility		$481.39	$673.94	$1,338.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $641.85 / $641.85 / $866.50	Professional		$641.85	$641.85	$866.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $641.85 / $673.94 / $1,416.88	Facility		$641.85	$673.94	$1,416.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $673.94 / $811.94 / $1,412.07	Facility		$673.94	$811.94	$1,412.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $402.96 / $706.04 / $924.26	Professional		$402.96	$706.04	$924.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,251.60 / $1,894.68 / $2,519.84	Facility		$1,251.60	$1,894.68	$2,519.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,133.56 / $1,262.33 / $2,018.63	Professional		$1,133.56	$1,262.33	$2,018.63
United Facility/Professional Professional Modifier Low / Median / High Price $120.59 / $269.58 / $641.85	Professional		$120.59	$269.58	$641.85