Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $6,165.95 / $13,182.57	Facility		$1,148.15	$6,165.95	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $645.65 / $1,445.44	Professional		$537.03	$645.65	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,047.13 / $1,584.89	Professional		$602.56	$1,047.13	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,380.38	Professional		$870.96	$1,148.15	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $912.01 / $1,479.11	Facility		$562.34	$912.01	$1,479.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,479.11	Professional		$870.96	$1,071.52	$1,479.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,148.15	Facility		$954.99	$1,122.02	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $912.01 / $1,318.26	Facility		$575.44	$912.01	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,096.48 / $1,548.82	Professional		$79.43	$1,096.48	$1,548.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,174.90 / $1,698.24	Professional		$1,023.29	$1,174.90	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,125.38	Facility		$1,995.26	$10,000.00	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $1,548.82	Professional		$758.58	$1,122.02	$1,548.82