Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,057.83 / $1,227.08 / $2,369.56	Facility		$1,057.83	$1,227.08	$2,369.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.24 / $1,200.00 / $1,607.91	Professional		$626.24	$1,200.00	$1,607.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,375.20 / $1,660.19 / $2,458.86	Facility		$1,375.20	$1,660.19	$2,458.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.05 / $973.04 / $1,660.09	Professional		$892.05	$973.04	$1,660.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $1,857.93 / $2,226.41	Professional		$846.27	$1,857.93	$2,226.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $634.70 / $888.58 / $1,861.79	Facility		$634.70	$888.58	$1,861.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $846.27 / $1,142.46	Professional		$846.27	$846.27	$1,142.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $846.27 / $930.90 / $1,868.14	Facility		$846.27	$930.90	$1,868.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $888.58 / $1,070.53 / $2,056.73	Facility		$888.58	$1,070.53	$2,056.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $930.90 / $1,015.52 / $1,605.45	Professional		$930.90	$1,015.52	$1,605.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,650.23 / $2,575.19 / $3,322.37	Facility		$1,650.23	$2,575.19	$3,322.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,494.45 / $1,663.82 / $2,661.30	Professional		$1,494.45	$1,663.82	$2,661.30
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $355.43 / $1,015.52	Professional		$355.43	$355.43	$1,015.52