Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,310.25 / $4,962.67 / $7,920.26	Facility		$1,310.25	$4,962.67	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.00 / $898.66 / $3,064.00	Professional		$585.00	$898.66	$3,064.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $787.06 / $1,283.83 / $1,963.08	Professional		$787.06	$1,283.83	$1,963.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,227.76 / $1,441.01 / $1,725.32	Professional		$1,227.76	$1,441.01	$1,725.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $919.42 / $1,273.75 / $1,806.77	Facility		$919.42	$1,273.75	$1,806.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,081.83 / $1,182.33 / $1,770.28	Professional		$1,081.83	$1,182.33	$1,770.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $924.91 / $1,279.03 / $1,342.68	Facility		$924.91	$1,279.03	$1,342.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $919.42 / $1,367.78 / $1,806.77	Facility		$919.42	$1,367.78	$1,806.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,188.84 / $1,347.75 / $1,840.27	Professional		$1,188.84	$1,347.75	$1,840.27
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 $1,228.83 / $1,564.12 / $2,102.19	Professional		$1,228.83	$1,564.12	$2,102.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $939.82 / $1,313.89 / $2,069.94	Professional		$939.82	$1,313.89	$2,069.94