Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,050.81 / $1,218.94 / $2,353.82	Facility		$1,050.81	$1,218.94	$2,353.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.02 / $790.21 / $1,639.27	Professional		$502.02	$790.21	$1,639.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,366.05 / $1,536.93 / $2,442.50	Facility		$1,366.05	$1,536.93	$2,442.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $737.18 / $927.28 / $1,508.00	Professional		$737.18	$927.28	$1,508.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $840.65 / $2,050.10 / $2,211.94	Professional		$840.65	$2,050.10	$2,211.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $504.39 / $840.65 / $1,753.17	Facility		$504.39	$840.65	$1,753.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $840.65 / $840.65 / $1,134.88	Professional		$840.65	$840.65	$1,134.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $840.65 / $924.72 / $1,855.73	Facility		$840.65	$924.72	$1,855.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $504.39 / $1,008.78 / $1,753.17	Facility		$504.39	$1,008.78	$1,753.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $708.73 / $924.72 / $1,210.54	Professional		$708.73	$924.72	$1,210.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,639.27 / $2,558.10 / $3,300.31	Facility		$1,639.27	$2,558.10	$3,300.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $752.84 / $1,563.03 / $2,350.75	Professional		$752.84	$1,563.03	$2,350.75
United Facility/Professional Professional Modifier Low / Median / High Price $248.06 / $353.07 / $882.68	Professional		$248.06	$353.07	$882.68