Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $13,182.57	Facility		$1,202.26	$1,584.89	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $1,698.24	Professional		$537.03	$676.08	$1,698.24
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 / $1,096.48 / $1,659.59	Professional		$616.60	$1,096.48	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,479.11	Professional		$933.25	$1,230.27	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $912.01 / $1,479.11	Facility		$575.44	$912.01	$1,479.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,096.48 / $1,548.82	Professional		$912.01	$1,096.48	$1,548.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,230.27	Facility		$891.25	$1,122.02	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $891.25 / $1,318.26	Facility		$575.44	$891.25	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,122.02 / $1,621.81	Professional		$79.43	$1,122.02	$1,621.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,888.44 / $7,244.36	Facility		$4,570.88	$5,888.44	$7,244.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $1,698.24	Professional		$1,000.00	$1,230.27	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $8,912.51	Facility		$1,698.24	$5,754.40	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $1,621.81	Professional		$794.33	$1,148.15	$1,621.81