Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $13,803.84	Facility		$1,148.15	$1,513.56	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $676.08 / $1,479.11	Professional		$524.81	$676.08	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,047.13 / $1,584.89	Professional		$616.60	$1,047.13	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,412.54	Professional		$891.25	$1,174.90	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $891.25 / $1,412.54	Facility		$575.44	$891.25	$1,412.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,513.56	Professional		$870.96	$1,023.29	$1,513.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,174.90	Facility		$891.25	$1,096.48	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $891.25 / $1,258.93	Facility		$575.44	$891.25	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,096.48 / $1,548.82	Professional		$79.43	$1,096.48	$1,548.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $1,698.24	Professional		$1,000.00	$1,202.26	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $1,548.82	Professional		$741.31	$1,096.48	$1,548.82