Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $7,943.28	Facility		$1,348.96	$1,778.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $1,905.46	Professional		$575.44	$724.44	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,202.26 / $1,862.09	Professional		$707.95	$1,202.26	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $1,737.80	Professional		$1,122.02	$1,445.44	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,071.52 / $1,548.82	Facility		$676.08	$1,071.52	$1,548.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,778.28	Professional		$1,000.00	$1,174.90	$1,778.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,380.38	Facility		$891.25	$1,202.26	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,023.29 / $1,479.11	Facility		$676.08	$1,023.29	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,230.27 / $1,819.70	Professional		$79.43	$1,230.27	$1,819.70
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 $1,096.48 / $1,380.38 / $1,905.46	Professional		$1,096.48	$1,380.38	$1,905.46
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 $812.83 / $1,202.26 / $1,778.28	Professional		$812.83	$1,202.26	$1,778.28