Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.30 / $1,119.38 / $3,096.79	Facility		$491.30	$1,119.38	$3,096.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $544.62 / $570.79 / $786.45	Professional		$544.62	$570.79	$786.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,233.45 / $1,899.51 / $2,205.41	Facility		$1,233.45	$1,899.51	$2,205.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.04 / $837.37 / $1,361.73	Professional		$444.04	$837.37	$1,361.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $1,851.30 / $1,997.48	Professional		$759.05	$1,851.30	$1,997.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $561.70 / $759.05 / $1,583.00	Facility		$561.70	$759.05	$1,583.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $759.05 / $1,024.72	Professional		$759.05	$759.05	$1,024.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $759.05 / $797.00 / $1,675.60	Facility		$759.05	$797.00	$1,675.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $552.82 / $910.86 / $1,654.73	Facility		$552.82	$910.86	$1,654.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $795.00 / $882.56 / $1,133.30	Professional		$795.00	$882.56	$1,133.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,480.15 / $2,309.79 / $2,979.95	Facility		$1,480.15	$2,309.79	$2,979.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $679.84 / $1,411.20 / $2,122.40	Professional		$679.84	$1,411.20	$2,122.40
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $336.98 / $910.86	Professional		$318.80	$336.98	$910.86