Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,394.26 / $4,394.26 / $4,394.26	Facility		$4,394.26	$4,394.26	$4,394.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $438.83 / $1,129.63	Professional		$6.68	$438.83	$1,129.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.93 / $140.93 / $140.93	Facility		$140.93	$140.93	$140.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.73 / $167.73 / $343.18	Professional		$167.73	$167.73	$343.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.34 / $100.19 / $115.90	Professional		$84.34	$100.19	$115.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.45 / $861.86 / $1,761.66	Facility		$70.45	$861.86	$1,761.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $59.04 / $84.34 / $213.73	Facility		$59.04	$84.34	$213.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.45 / $1,129.63 / $1,761.66	Facility		$70.45	$1,129.63	$1,761.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.81 / $167.73 / $2,107.48	Professional		$87.81	$167.73	$2,107.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.07 / $215.46 / $1,586.88	Professional		$89.07	$215.46	$1,586.88
United Facility/Professional Professional Modifier Low / Median / High Price $326.39 / $1,105.20 / $2,349.69	Professional		$326.39	$1,105.20	$2,349.69