Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,144.65 / $2,747.00 / $7,920.26	Facility		$1,144.65	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.14 / $691.65 / $1,675.71	Professional		$520.14	$691.65	$1,675.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $675.81 / $1,157.91 / $1,732.70	Professional		$675.81	$1,157.91	$1,732.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,142.07 / $1,373.97 / $1,564.09	Professional		$1,142.07	$1,373.97	$1,564.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $652.92 / $1,066.22 / $1,496.00	Facility		$652.92	$1,066.22	$1,496.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $937.38 / $1,050.28 / $1,629.36	Professional		$937.38	$1,050.28	$1,629.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $798.46 / $1,148.86 / $1,291.76	Facility		$798.46	$1,148.86	$1,291.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $652.92 / $1,067.43 / $1,680.89	Facility		$652.92	$1,067.43	$1,680.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,036.80 / $1,225.72 / $1,691.78	Professional		$1,036.80	$1,225.72	$1,691.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,016.60	Facility		$3,820.30	$4,901.89	$6,016.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,068.30 / $1,405.41 / $1,851.29	Professional		$1,068.30	$1,405.41	$1,851.29
United Facility/Professional Facility Modifier Low / Median / High Price $676.00 / $3,290.00 / $6,216.00	Facility		$676.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $851.52 / $1,220.80 / $1,913.08	Professional		$851.52	$1,220.80	$1,913.08