Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,121.25 / $1,300.65 / $2,511.60	Facility		$1,121.25	$1,300.65	$2,511.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.00 / $762.45 / $1,300.65	Professional		$440.00	$762.45	$1,300.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,457.63 / $1,457.63 / $2,606.23	Facility		$1,457.63	$1,457.63	$2,606.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $989.36 / $1,609.05	Professional		$275.00	$989.36	$1,609.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $897.00 / $2,187.34 / $2,360.04	Professional		$897.00	$2,187.34	$2,360.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $448.50 / $897.00 / $1,870.69	Facility		$448.50	$897.00	$1,870.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $897.00 / $897.00 / $1,210.95	Professional		$897.00	$897.00	$1,210.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $897.00 / $941.85 / $1,980.13	Facility		$897.00	$941.85	$1,980.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $448.50 / $1,076.40 / $1,892.67	Facility		$448.50	$1,076.40	$1,892.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $897.00 / $986.70 / $1,291.68	Professional		$897.00	$986.70	$1,291.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,749.15 / $2,729.57 / $3,521.53	Facility		$1,749.15	$2,729.57	$3,521.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $816.27 / $1,667.61 / $2,508.03	Professional		$816.27	$1,667.61	$2,508.03
United Facility/Professional Professional Modifier Low / Median / High Price $376.74 / $376.74 / $941.85	Professional		$376.74	$376.74	$941.85