Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $948.81 / $1,100.61 / $2,125.34	Facility		$948.81	$1,100.61	$2,125.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.43 / $722.10 / $1,100.61	Professional		$455.43	$722.10	$1,100.61
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 $385.12 / $806.74 / $1,361.73	Professional		$385.12	$806.74	$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 $455.43 / $759.05 / $1,583.00	Facility		$455.43	$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 / $834.96 / $1,675.60	Facility		$759.05	$834.96	$1,675.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $455.43 / $910.86 / $1,654.73	Facility		$455.43	$910.86	$1,654.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $872.91 / $1,123.26	Professional		$759.05	$872.91	$1,123.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,480.15 / $2,309.79 / $3,135.94	Facility		$1,480.15	$2,309.79	$3,135.94
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