Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $7,943.28	Facility		$1,479.11	$1,862.09	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $812.83 / $1,995.26	Professional		$676.08	$812.83	$1,995.26
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 $758.58 / $1,288.25 / $1,949.84	Professional		$758.58	$1,288.25	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $1,737.80	Professional		$1,023.29	$1,348.96	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,096.48 / $2,238.72	Facility		$707.95	$1,096.48	$2,238.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $1,949.84	Professional		$1,071.52	$1,318.26	$1,949.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,513.56	Facility		$1,230.27	$1,445.44	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,621.81	Facility		$707.95	$1,047.13	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,445.44 / $2,041.74	Professional		$79.43	$1,445.44	$2,041.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $2,137.96	Professional		$1,318.26	$1,548.82	$2,137.96
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 $954.99 / $1,380.38 / $1,949.84	Professional		$954.99	$1,380.38	$1,949.84