Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,412.54 / $7,943.28	Facility		$851.14	$1,412.54	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $630.96 / $1,548.82	Professional		$512.86	$630.96	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,000.00 / $1,479.11	Professional		$478.63	$1,000.00	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,348.96	Professional		$831.76	$1,122.02	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $794.33 / $1,318.26	Facility		$562.34	$794.33	$1,318.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,412.54	Professional		$812.83	$1,000.00	$1,412.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,148.15	Facility		$812.83	$1,047.13	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $812.83 / $1,318.26	Facility		$549.54	$812.83	$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 $3,548.13 / $4,786.30 / $5,754.40	Facility		$3,548.13	$4,786.30	$5,754.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $1,548.82	Professional		$1,000.00	$1,202.26	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,128.61 / $7,413.10	Facility		$1,548.82	$5,128.61	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,071.52 / $1,548.82	Professional		$645.65	$1,071.52	$1,548.82