Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.95 / $1,099.61 / $2,123.41	Facility		$947.95	$1,099.61	$2,123.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.02 / $735.61 / $1,478.80	Professional		$546.02	$735.61	$1,478.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,232.33 / $1,232.33 / $2,203.40	Facility		$1,232.33	$1,232.33	$2,203.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $664.97 / $836.30 / $1,360.55	Professional		$664.97	$836.30	$1,360.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.36 / $1,664.75 / $1,994.93	Professional		$758.36	$1,664.75	$1,994.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $568.77 / $796.28 / $1,668.39	Facility		$568.77	$796.28	$1,668.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $758.36 / $758.36 / $1,023.79	Professional		$758.36	$758.36	$1,023.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $758.36 / $796.28 / $1,674.08	Facility		$758.36	$796.28	$1,674.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $796.28 / $959.33 / $1,843.43	Facility		$796.28	$959.33	$1,843.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $806.00 / $910.03 / $1,360.55	Professional		$806.00	$910.03	$1,360.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,478.80 / $2,307.69 / $2,977.25	Facility		$1,478.80	$2,307.69	$2,977.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,339.44 / $1,490.98 / $2,385.26	Professional		$1,339.44	$1,490.98	$2,385.26
United Facility/Professional Professional Modifier Low / Median / High Price $318.51 / $318.51 / $910.03	Professional		$318.51	$318.51	$910.03