Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $7,943.28	Facility		$1,258.93	$1,659.59	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $1,737.80	Professional		$575.44	$707.95	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,122.02 / $1,737.80	Professional		$645.65	$1,122.02	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,548.82	Professional		$977.24	$1,288.25	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $891.25 / $1,548.82	Facility		$588.84	$891.25	$1,548.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $1,621.81	Professional		$758.58	$1,122.02	$1,621.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,230.27 / $1,288.25	Facility		$851.14	$1,230.27	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $891.25 / $1,380.38	Facility		$616.60	$891.25	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,202.26 / $1,698.24	Professional		$79.43	$1,202.26	$1,698.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,011.87 / $6,165.95	Facility		$3,801.89	$5,011.87	$6,165.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,318.26 / $1,862.09	Professional		$870.96	$1,318.26	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $1,698.24	Professional		$794.33	$1,202.26	$1,698.24