Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,096.48 / $13,182.57	Facility		$776.25	$1,096.48	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $524.81 / $1,318.26	Professional		$389.05	$524.81	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $758.58 / $1,148.15	Professional		$426.58	$758.58	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,023.29	Professional		$660.69	$870.96	$1,023.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $660.69 / $1,479.11	Facility		$407.38	$660.69	$1,479.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $1,122.02	Professional		$616.60	$776.25	$1,122.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $812.83 / $851.14	Facility		$660.69	$812.83	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $660.69 / $1,023.29	Facility		$416.87	$660.69	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $794.33 / $1,148.15	Professional		$79.43	$794.33	$1,148.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $6,456.54	Facility		$3,890.45	$5,128.61	$6,456.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $1,230.27	Professional		$758.58	$870.96	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $8,128.31 / $12,882.50	Facility		$1,995.26	$8,128.31	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $812.83 / $1,148.15	Professional		$549.54	$812.83	$1,148.15