Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,348.96 / $13,182.57	Facility		$831.76	$1,348.96	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $1,348.96	Professional		$426.58	$549.54	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,000.00 / $1,513.56	Professional		$602.56	$1,000.00	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,071.52 / $1,412.54	Professional		$630.96	$1,071.52	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $831.76 / $1,412.54	Facility		$501.19	$831.76	$1,412.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,445.44	Professional		$812.83	$1,000.00	$1,445.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,174.90	Facility		$794.33	$1,096.48	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $831.76 / $1,230.27	Facility		$524.81	$831.76	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,047.13 / $1,479.11	Professional		$79.43	$1,047.13	$1,479.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,888.44 / $7,244.36	Facility		$4,570.88	$5,888.44	$7,244.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,548.82	Professional		$870.96	$1,148.15	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $8,912.51	Facility		$1,698.24	$5,754.40	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $977.24 / $1,479.11	Professional		$616.60	$977.24	$1,479.11