Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $6,606.93	Facility		$1,096.48	$1,412.54	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $616.60 / $1,513.56	Professional		$512.86	$616.60	$1,513.56
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 $588.84 / $1,023.29 / $1,584.89	Professional		$588.84	$1,023.29	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,548.82	Professional		$1,000.00	$1,288.25	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $851.14 / $1,348.96	Facility		$549.54	$851.14	$1,348.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,479.11	Professional		$870.96	$1,023.29	$1,479.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,202.26	Facility		$776.25	$1,071.52	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $851.14 / $1,258.93	Facility		$549.54	$851.14	$1,258.93
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 $3,801.89 / $5,011.87 / $6,025.60	Facility		$3,801.89	$5,011.87	$6,025.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $1,659.59	Professional		$912.01	$1,174.90	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,365.16 / $6,918.31	Facility		$389.05	$4,365.16	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,548.82	Professional		$724.44	$1,047.13	$1,548.82