Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,238.72 / $13,803.84	Facility		$1,230.27	$2,238.72	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $2,398.83	Professional		$645.65	$912.01	$2,398.83
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 $870.96 / $1,479.11 / $2,290.87	Professional		$870.96	$1,479.11	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $2,137.96	Professional		$1,380.38	$1,778.28	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,258.93 / $1,905.46	Facility		$831.76	$1,258.93	$1,905.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $2,238.72	Professional		$1,148.15	$1,445.44	$2,238.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $1,737.80	Facility		$1,096.48	$1,479.11	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,230.27 / $1,819.70	Facility		$831.76	$1,230.27	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,548.82 / $2,290.87	Professional		$79.43	$1,548.82	$2,290.87
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 $1,288.25 / $1,737.80 / $2,398.83	Professional		$1,288.25	$1,737.80	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,513.56 / $2,238.72	Professional		$977.24	$1,513.56	$2,238.72