Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,187.76 / $7,943.28	Facility		$1,445.44	$2,187.76	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $933.25 / $2,238.72	Professional		$630.96	$933.25	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,548.82 / $2,630.27	Professional		$758.58	$1,548.82	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $2,511.89	Professional		$1,479.11	$1,949.84	$2,511.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,174.90 / $2,041.74	Facility		$676.08	$1,174.90	$2,041.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $2,290.87	Professional		$977.24	$1,412.54	$2,290.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $1,905.46	Facility		$1,000.00	$1,548.82	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,174.90 / $1,995.26	Facility		$588.84	$1,174.90	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,548.82 / $2,398.83	Professional		$79.43	$1,548.82	$2,398.83
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 $1,148.15 / $1,862.09 / $2,454.71	Professional		$1,148.15	$1,862.09	$2,454.71
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 $851.14 / $1,445.44 / $2,344.23	Professional		$851.14	$1,445.44	$2,344.23