Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,465.46 / $2,747.00 / $7,920.26	Facility		$1,465.46	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $644.82 / $1,058.26 / $2,308.01	Professional		$644.82	$1,058.26	$2,308.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.66 / $1,509.84 / $2,355.64	Professional		$864.66	$1,509.84	$2,355.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,400.93 / $1,778.59 / $2,111.98	Professional		$1,400.93	$1,778.59	$2,111.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $730.89 / $1,345.41 / $1,973.74	Facility		$730.89	$1,345.41	$1,973.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,117.66 / $1,362.59 / $2,188.77	Professional		$1,117.66	$1,362.59	$2,188.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $948.32 / $1,529.43 / $1,722.57	Facility		$948.32	$1,529.43	$1,722.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $747.76 / $1,338.48 / $2,190.90	Facility		$747.76	$1,338.48	$2,190.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,253.76 / $1,661.44 / $2,293.44	Professional		$1,253.76	$1,661.44	$2,293.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,539.74 / $4,494.80 / $5,709.03	Facility		$3,539.74	$4,494.80	$5,709.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,324.16 / $1,751.44 / $2,424.40	Professional		$1,324.16	$1,751.44	$2,424.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,517.00 / $7,385.00	Facility		$1,689.00	$5,517.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,121.11 / $1,651.30 / $2,543.94	Professional		$1,121.11	$1,651.30	$2,543.94