Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,090.19 / $1,464.34 / $7,920.26	Facility		$1,090.19	$1,464.34	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.27 / $750.86 / $1,577.12	Professional		$483.27	$750.86	$1,577.12
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 $627.60 / $1,085.83 / $1,608.80	Professional		$627.60	$1,085.83	$1,608.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,093.18 / $1,305.17 / $1,496.61	Professional		$1,093.18	$1,305.17	$1,496.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $591.65 / $990.50 / $1,361.70	Facility		$591.65	$990.50	$1,361.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $866.24 / $990.97 / $1,518.34	Professional		$866.24	$990.97	$1,518.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $761.50 / $1,074.68 / $1,197.29	Facility		$761.50	$1,074.68	$1,197.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $607.08 / $990.50 / $1,547.60	Facility		$607.08	$990.50	$1,547.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $959.04 / $1,165.44 / $1,586.38	Professional		$959.04	$1,165.44	$1,586.38
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 $1,021.56 / $1,343.92 / $1,766.52	Professional		$1,021.56	$1,343.92	$1,766.52
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 $807.52 / $1,170.08 / $1,777.21	Professional		$807.52	$1,170.08	$1,777.21