Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $13,182.57	Facility		$1,148.15	$1,513.56	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.65 / $1,621.81	Professional		$489.78	$645.65	$1,621.81
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 $588.84 / $1,047.13 / $1,584.89	Professional		$588.84	$1,047.13	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,412.54	Professional		$912.01	$1,202.26	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $891.25 / $1,412.54	Facility		$575.44	$891.25	$1,412.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,479.11	Professional		$831.76	$1,047.13	$1,479.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,174.90	Facility		$794.33	$1,096.48	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $870.96 / $1,258.93	Facility		$575.44	$870.96	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,071.52 / $1,548.82	Professional		$79.43	$1,071.52	$1,548.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,011.87 / $6,165.95	Facility		$3,801.89	$5,011.87	$6,165.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,621.81	Professional		$977.24	$1,202.26	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $11,748.98 / $26,302.68	Facility		$2,137.96	$11,748.98	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,071.52 / $1,548.82	Professional		$707.95	$1,071.52	$1,548.82