Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,079.23 / $1,079.23 / $1,079.23	Facility		$1,079.23	$1,079.23	$1,079.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $811.04 / $969.04 / $1,192.01	Professional		$811.04	$969.04	$1,192.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $995.05 / $995.05 / $995.05	Facility		$995.05	$995.05	$995.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,192.79 / $1,977.77 / $2,624.64	Professional		$1,192.79	$1,977.77	$2,624.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,696.67 / $2,071.30 / $2,374.17	Professional		$1,696.67	$2,071.30	$2,374.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $821.51 / $1,070.45 / $1,969.63	Facility		$821.51	$1,070.45	$1,969.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $594.58 / $792.77 / $834.49	Facility		$594.58	$792.77	$834.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $834.49 / $1,070.45 / $1,995.80	Facility		$834.49	$1,070.45	$1,995.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,001.39 / $1,627.26 / $2,417.02	Professional		$1,001.39	$1,627.26	$2,417.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,318.75 / $1,651.93 / $2,122.73	Facility		$1,318.75	$1,651.93	$2,122.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,327.83 / $1,714.83 / $2,346.01	Professional		$1,327.83	$1,714.83	$2,346.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,272.78 / $1,791.32 / $2,580.91	Professional		$1,272.78	$1,791.32	$2,580.91