Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.15 / $909.71 / $1,592.18	Facility		$800.15	$909.71	$1,592.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $808.15 / $1,684.63	Professional		$796.09	$808.15	$1,684.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $751.03 / $1,075.68 / $1,520.80	Facility		$751.03	$1,075.68	$1,520.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $796.09 / $863.69	Professional		$796.09	$796.09	$863.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $597.07 / $1,691.87 / $2,000.03	Professional		$597.07	$1,691.87	$2,000.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $663.18 / $835.89 / $1,138.41	Facility		$663.18	$835.89	$1,138.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $843.86 / $1,034.92	Professional		$796.09	$843.86	$1,034.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $725.27 / $796.09 / $1,652.27	Facility		$725.27	$796.09	$1,652.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $743.66 / $950.19 / $1,520.80	Facility		$743.66	$950.19	$1,520.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $743.66 / $917.05 / $950.30	Professional		$743.66	$917.05	$950.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $796.09 / $915.50	Professional		$796.09	$796.09	$915.50
United Facility/Professional Professional Modifier Low / Median / High Price $676.68 / $796.09 / $915.50	Professional		$676.68	$796.09	$915.50