Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $6,606.93 / $7,943.28	Facility		$1,096.48	$6,606.93	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $724.44 / $1,047.13	Professional		$295.12	$724.44	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,548.82	Professional		$933.25	$1,230.27	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,096.48 / $2,511.89	Facility		$446.68	$1,096.48	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $776.25 / $1,096.48	Professional		$295.12	$776.25	$1,096.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,548.82	Facility		$758.58	$1,047.13	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,047.13 / $1,513.56	Facility		$446.68	$1,047.13	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $1,230.27	Professional		$70.79	$79.43	$1,230.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,412.54 / $2,041.74	Professional		$870.96	$1,412.54	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $1,819.70	Professional		$575.44	$851.14	$1,819.70