Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $7,943.28	Facility		$1,122.02	$1,479.11	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $1,584.89	Professional		$501.19	$630.96	$1,584.89
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 $562.34 / $1,023.29 / $1,548.82	Professional		$562.34	$1,023.29	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,380.38	Professional		$891.25	$1,174.90	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $870.96 / $1,698.24	Facility		$549.54	$870.96	$1,698.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,479.11	Professional		$851.14	$1,000.00	$1,479.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,148.15	Facility		$831.76	$1,071.52	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $870.96 / $1,230.27	Facility		$575.44	$870.96	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,047.13 / $1,513.56	Professional		$79.43	$1,047.13	$1,513.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $6,165.95 / $7,413.10	Facility		$4,897.79	$6,165.95	$7,413.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $1,584.89	Professional		$954.99	$1,174.90	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $8,511.38	Facility		$1,698.24	$5,754.40	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,071.52 / $1,513.56	Professional		$660.69	$1,071.52	$1,513.56