Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,130.38 / $2,130.38 / $2,130.38	Facility		$2,130.38	$2,130.38	$2,130.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.26 / $372.26 / $372.26	Professional		$372.26	$372.26	$372.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Facility		$161.50	$161.50	$161.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.23 / $381.23 / $381.23	Professional		$381.23	$381.23	$381.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $793.28 / $1,055.00 / $1,191.45	Professional		$793.28	$1,055.00	$1,191.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.50 / $372.26 / $1,284.29	Facility		$104.50	$372.26	$1,284.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $370.48 / $564.14 / $564.14	Facility		$370.48	$564.14	$564.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $372.26 / $738.04 / $1,410.88	Facility		$372.26	$738.04	$1,410.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $201.45 / $738.04 / $881.80	Professional		$201.45	$738.04	$881.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $426.08 / $426.08 / $426.08	Professional		$426.08	$426.08	$426.08
United Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $390.00 / $448.50	Professional		$390.00	$390.00	$448.50