Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $961.98 / $1,115.89 / $2,154.82	Facility		$961.98	$1,115.89	$2,154.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.93 / $654.14 / $1,500.68	Professional		$222.93	$654.14	$1,500.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,250.58 / $1,321.21 / $2,236.03	Facility		$1,250.58	$1,321.21	$2,236.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $675.06 / $848.78 / $1,380.53	Professional		$675.06	$848.78	$1,380.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $769.58 / $1,689.60 / $2,024.70	Professional		$769.58	$1,689.60	$2,024.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $577.19 / $808.06 / $1,693.08	Facility		$577.19	$808.06	$1,693.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $769.58 / $769.58 / $1,038.93	Professional		$769.58	$769.58	$1,038.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $769.58 / $808.06 / $1,698.85	Facility		$769.58	$808.06	$1,698.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $808.06 / $973.52 / $1,869.99	Facility		$808.06	$973.52	$1,869.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $811.23 / $885.02 / $1,108.20	Professional		$811.23	$885.02	$1,108.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,500.68 / $2,341.83 / $3,021.29	Facility		$1,500.68	$2,341.83	$3,021.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,359.19 / $1,513.43 / $2,420.42	Professional		$1,359.19	$1,513.43	$2,420.42
United Facility/Professional Professional Modifier Low / Median / High Price $323.22 / $323.22 / $808.06	Professional		$323.22	$323.22	$808.06