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 $462.13 / $545.57 / $930.68	Professional		$462.13	$545.57	$930.68
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 $300.95 / $697.78 / $1,157.93	Professional		$300.95	$697.78	$1,157.93
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 / $1,412.07	Facility		$481.39	$673.94	$1,412.07
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 / $706.04 / $962.78	Facility		$641.85	$706.04	$962.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $673.94 / $811.94 / $1,622.65	Facility		$673.94	$811.94	$1,622.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $697.78 / $738.13 / $924.26	Professional		$697.78	$738.13	$924.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,251.60 / $1,953.15 / $2,651.74	Facility		$1,251.60	$1,953.15	$2,651.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,133.56 / $1,253.65 / $2,018.63	Professional		$1,133.56	$1,253.65	$2,018.63
United Facility/Professional Professional Modifier Low / Median / High Price $269.58 / $269.58 / $641.85	Professional		$269.58	$269.58	$641.85