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 / $13,182.57	Facility		$1,148.15	$1,513.56	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $630.96 / $1,584.89	Professional		$512.86	$630.96	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,047.13 / $1,548.82	Professional		$616.60	$1,047.13	$1,548.82
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 $562.34 / $870.96 / $1,412.54	Facility		$562.34	$870.96	$1,412.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,479.11	Professional		$851.14	$1,023.29	$1,479.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,174.90	Facility		$851.14	$1,071.52	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $870.96 / $1,230.27	Facility		$549.54	$870.96	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,071.52 / $1,548.82	Professional		$79.43	$1,071.52	$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 / $1,174.90 / $1,621.81	Professional		$1,000.00	$1,174.90	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,125.38	Facility		$1,995.26	$10,000.00	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,548.82	Professional		$741.31	$1,071.52	$1,548.82