Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.53 / $3,925.18 / $7,920.26	Facility		$1,052.53	$3,925.18	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.98 / $730.07 / $2,015.00	Professional		$471.98	$730.07	$2,015.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $607.10 / $1,020.46 / $1,556.68	Professional		$607.10	$1,020.46	$1,556.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $985.59 / $1,154.50 / $1,385.00	Professional		$985.59	$1,154.50	$1,385.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $565.16 / $888.72 / $1,292.00	Facility		$565.16	$888.72	$1,292.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $686.40 / $939.15 / $1,408.73	Professional		$686.40	$939.15	$1,408.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $648.42 / $998.88 / $1,074.68	Facility		$648.42	$998.88	$1,074.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.89 / $1,057.20 / $2,919.00	Facility		$616.89	$1,057.20	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $899.50 / $1,074.53 / $1,472.95	Professional		$899.50	$1,074.53	$1,472.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $982.21 / $1,251.92 / $1,682.60	Professional		$982.21	$1,251.92	$1,682.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $715.33 / $1,065.39 / $1,641.31	Professional		$715.33	$1,065.39	$1,641.31