Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $13,182.57	Facility		$1,230.27	$1,621.81	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $1,737.80	Professional		$562.34	$691.83	$1,737.80
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 $660.69 / $1,122.02 / $1,698.24	Professional		$660.69	$1,122.02	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,513.56	Professional		$954.99	$1,258.93	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,023.29 / $1,584.89	Facility		$602.56	$1,023.29	$1,584.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,122.02 / $1,584.89	Professional		$977.24	$1,122.02	$1,584.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,174.90 / $1,258.93	Facility		$977.24	$1,174.90	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,000.00 / $1,445.44	Facility		$630.96	$1,000.00	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,174.90 / $1,659.59	Professional		$79.43	$1,174.90	$1,659.59
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 $1,096.48 / $1,288.25 / $1,819.70	Professional		$1,096.48	$1,288.25	$1,819.70
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 $812.83 / $1,174.90 / $1,659.59	Professional		$812.83	$1,174.90	$1,659.59