Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $845.63 / $980.93 / $1,894.20	Facility		$845.63	$980.93	$1,894.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.67 / $575.03 / $1,319.18	Professional		$203.67	$575.03	$1,319.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,099.33 / $1,099.33 / $1,965.59	Facility		$1,099.33	$1,099.33	$1,965.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.41 / $910.27 / $1,327.30	Professional		$158.41	$910.27	$1,327.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.50 / $1,485.07 / $1,779.59	Professional		$676.50	$1,485.07	$1,779.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $507.38 / $688.90 / $1,410.85	Facility		$507.38	$688.90	$1,410.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.50 / $811.80 / $947.10	Professional		$676.50	$811.80	$947.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.50 / $676.50 / $1,420.65	Facility		$676.50	$676.50	$1,420.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $656.21 / $855.77 / $1,488.30	Facility		$656.21	$855.77	$1,488.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $311.17 / $744.15 / $974.16	Professional		$311.17	$744.15	$974.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $797.33 / $1,488.57 / $2,470.78	Facility		$797.33	$1,488.57	$2,470.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,194.60 / $1,321.82 / $2,127.34	Professional		$1,194.60	$1,321.82	$2,127.34
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $169.73 / $405.90	Professional		$118.81	$169.73	$405.90