Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.62 / $1,692.81 / $1,901.34	Facility		$984.62	$1,692.81	$1,901.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.76 / $870.87 / $1,139.97	Professional		$479.76	$870.87	$1,139.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,118.92 / $2,423.96 / $3,788.64	Facility		$2,118.92	$2,423.96	$3,788.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.38 / $1,014.00 / $1,498.36	Professional		$441.38	$1,014.00	$1,498.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,303.95 / $3,179.65 / $3,430.69	Professional		$1,303.95	$3,179.65	$3,430.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $502.50 / $831.33 / $2,265.90	Facility		$502.50	$831.33	$2,265.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $754.50 / $1,303.95 / $1,760.33	Professional		$754.50	$1,303.95	$1,760.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $679.05 / $1,303.95 / $1,955.93	Facility		$679.05	$1,303.95	$1,955.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $713.00 / $859.00 / $2,003.20	Facility		$713.00	$859.00	$2,003.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $746.96 / $862.39 / $1,303.56	Professional		$746.96	$862.39	$1,303.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,324.15 / $2,095.83 / $2,805.43	Facility		$1,324.15	$2,095.83	$2,805.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $892.85 / $1,335.14 / $1,898.79	Professional		$892.85	$1,335.14	$1,898.79
United Facility/Professional Professional Modifier Low / Median / High Price $285.20 / $391.22 / $814.86	Professional		$285.20	$391.22	$814.86