Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.42 / $2,747.00 / $7,920.26	Facility		$1,086.42	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.82 / $701.76 / $1,467.29	Professional		$441.82	$701.76	$1,467.29
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 $583.61 / $1,005.47 / $1,508.50	Professional		$583.61	$1,005.47	$1,508.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $996.27 / $1,195.43 / $1,365.82	Professional		$996.27	$1,195.43	$1,365.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $572.57 / $911.10 / $1,292.00	Facility		$572.57	$911.10	$1,292.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $807.36 / $905.19 / $1,426.24	Professional		$807.36	$905.19	$1,426.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $690.38 / $1,000.19 / $1,126.94	Facility		$690.38	$1,000.19	$1,126.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $642.88 / $926.28 / $1,454.12	Facility		$642.88	$926.28	$1,454.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $883.26 / $1,072.91 / $1,479.29	Professional		$883.26	$1,072.91	$1,479.29
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 $929.93 / $1,226.83 / $1,609.17	Professional		$929.93	$1,226.83	$1,609.17
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $726.14 / $1,081.49 / $1,762.88	Professional		$726.14	$1,081.49	$1,762.88