Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $7,943.28	Facility		$1,380.38	$1,698.24	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $741.31 / $1,819.70	Professional		$616.60	$741.31	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,202.26 / $1,778.28	Professional		$691.83	$1,202.26	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,584.89	Professional		$933.25	$1,258.93	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,000.00 / $2,041.74	Facility		$645.65	$1,000.00	$2,041.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,819.70	Professional		$977.24	$1,202.26	$1,819.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,380.38	Facility		$1,122.02	$1,318.26	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $954.99 / $1,479.11	Facility		$645.65	$954.99	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,318.26 / $1,862.09	Professional		$79.43	$1,318.26	$1,862.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $1,949.84	Professional		$1,202.26	$1,412.54	$1,949.84
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 $870.96 / $1,288.25 / $1,778.28	Professional		$870.96	$1,288.25	$1,778.28