Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,547.88 / $5,649.00 / $15,341.00	Facility		$1,547.88	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.29 / $1,104.83 / $2,936.31	Professional		$735.29	$1,104.83	$2,936.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,131.80 / $1,131.80 / $2,310.00	Facility		$1,131.80	$1,131.80	$2,310.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $737.61 / $1,496.78 / $2,149.01	Professional		$737.61	$1,496.78	$2,149.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,218.82 / $1,599.37 / $2,006.37	Professional		$1,218.82	$1,599.37	$2,006.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $772.79 / $1,376.52 / $2,143.69	Facility		$772.79	$1,376.52	$2,143.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,179.63 / $1,334.55 / $2,241.66	Professional		$1,179.63	$1,334.55	$2,241.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $993.22 / $1,453.90 / $1,540.70	Facility		$993.22	$1,453.90	$1,540.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $813.89 / $1,607.48 / $2,629.24	Facility		$813.89	$1,607.48	$2,629.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,272.70 / $1,650.09 / $2,117.23	Professional		$1,272.70	$1,650.09	$2,117.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,539.74 / $4,743.41 / $5,709.03	Facility		$3,539.74	$4,743.41	$5,709.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,406.57 / $1,771.97 / $2,166.92	Professional		$1,406.57	$1,771.97	$2,166.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,106.69 / $1,568.16 / $2,410.50	Professional		$1,106.69	$1,568.16	$2,410.50