Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $6,606.93	Facility		$1,288.25	$1,949.84	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,995.26	Professional		$676.08	$891.25	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,445.44 / $2,344.23	Professional		$776.25	$1,445.44	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,187.76	Professional		$1,288.25	$1,698.24	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,174.90 / $1,905.46	Facility		$691.83	$1,174.90	$1,905.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $2,041.74	Professional		$1,096.48	$1,412.54	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $1,737.80	Facility		$1,096.48	$1,548.82	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,174.90 / $1,819.70	Facility		$645.65	$1,174.90	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,513.56 / $2,137.96	Professional		$79.43	$1,513.56	$2,137.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,786.30 / $5,754.40	Facility		$3,548.13	$4,786.30	$5,754.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $2,238.72	Professional		$1,202.26	$1,698.24	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,445.44 / $2,137.96	Professional		$933.25	$1,445.44	$2,137.96