Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $13,803.84	Facility		$1,698.24	$2,238.72	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $2,290.87	Professional		$794.33	$954.99	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,548.82 / $2,398.83	Professional		$891.25	$1,548.82	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $2,089.30	Professional		$1,318.26	$1,778.28	$2,089.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,258.93 / $2,089.30	Facility		$851.14	$1,258.93	$2,089.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $2,238.72	Professional		$1,258.93	$1,548.82	$2,238.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $1,737.80	Facility		$1,202.26	$1,659.59	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,258.93 / $1,905.46	Facility		$851.14	$1,258.93	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,621.81 / $2,344.23	Professional		$79.43	$1,621.81	$2,344.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $10,232.93 / $12,302.69	Facility		$6,309.57	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $2,511.89	Professional		$1,479.11	$1,778.28	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $14,125.38	Facility		$1,698.24	$5,754.40	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $2,344.23	Professional		$1,122.02	$1,659.59	$2,344.23