Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $13,182.57	Facility		$2,187.76	$2,818.38	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $3,019.95	Professional		$776.25	$1,174.90	$3,019.95
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 $1,096.48 / $1,905.46 / $3,090.30	Professional		$1,096.48	$1,905.46	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $2,630.27	Professional		$1,621.81	$2,187.76	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $2,691.53	Facility		$977.24	$1,548.82	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $2,884.03	Professional		$1,096.48	$1,862.09	$2,884.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,819.70 / $2,238.72	Facility		$1,202.26	$1,819.70	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,479.11 / $2,238.72	Facility		$912.01	$1,479.11	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,995.26 / $2,951.21	Professional		$79.43	$1,995.26	$2,951.21
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 $1,513.56 / $2,290.87 / $3,090.30	Professional		$1,513.56	$2,290.87	$3,090.30
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 $1,258.93 / $1,995.26 / $2,884.03	Professional		$1,258.93	$1,995.26	$2,884.03