Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $7,943.28	Facility		$1,071.52	$1,412.54	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $588.84 / $1,348.96	Professional		$489.78	$588.84	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $977.24 / $1,479.11	Professional		$575.44	$977.24	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,318.26	Professional		$831.76	$1,122.02	$1,318.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $831.76 / $1,318.26	Facility		$524.81	$831.76	$1,318.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $1,380.38	Professional		$794.33	$954.99	$1,380.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,096.48	Facility		$851.14	$1,023.29	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $831.76 / $1,230.27	Facility		$524.81	$831.76	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,000.00 / $1,445.44	Professional		$79.43	$1,000.00	$1,445.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,011.87 / $6,165.95	Facility		$3,801.89	$5,011.87	$6,165.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,548.82	Professional		$933.25	$1,122.02	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,023.29 / $1,445.44	Professional		$691.83	$1,023.29	$1,445.44