Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $7,943.28	Facility		$1,230.27	$1,584.89	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $691.83 / $1,548.82	Professional		$575.44	$691.83	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,122.02 / $1,659.59	Professional		$457.09	$1,122.02	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,479.11	Professional		$831.76	$1,148.15	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $891.25 / $1,548.82	Facility		$602.56	$891.25	$1,548.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $1,513.56	Professional		$912.01	$1,122.02	$1,513.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,258.93	Facility		$933.25	$1,230.27	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $912.01 / $1,445.44	Facility		$575.44	$912.01	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,202.26 / $1,698.24	Professional		$79.43	$1,202.26	$1,698.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,232.93 / $12,022.64	Facility		$7,413.10	$10,232.93	$12,022.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $1,698.24	Professional		$1,148.15	$1,318.26	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $9,549.93 / $12,882.50	Facility		$1,621.81	$9,549.93	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,202.26 / $1,737.80	Professional		$741.31	$1,202.26	$1,737.80