Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,112.52 / $2,747.00 / $7,920.26	Facility		$1,112.52	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.50 / $775.14 / $2,018.57	Professional		$507.50	$775.14	$2,018.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,937.44 / $1,937.44 / $1,937.44	Facility		$1,937.44	$1,937.44	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $564.00 / $1,069.41 / $1,564.69	Professional		$564.00	$1,069.41	$1,564.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $901.45 / $1,183.69 / $1,461.20	Professional		$901.45	$1,183.69	$1,461.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $612.10 / $1,016.19 / $1,524.46	Facility		$612.10	$1,016.19	$1,524.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $810.39 / $980.44 / $1,672.95	Professional		$810.39	$980.44	$1,672.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $749.52 / $1,036.49 / $1,146.36	Facility		$749.52	$1,036.49	$1,146.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $668.36 / $1,128.46 / $1,524.46	Facility		$668.36	$1,128.46	$1,524.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $916.85 / $1,218.24 / $1,584.21	Professional		$916.85	$1,218.24	$1,584.21
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 $1,043.71 / $1,328.59 / $1,607.91	Professional		$1,043.71	$1,328.59	$1,607.91
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 $819.00 / $1,118.48 / $1,788.65	Professional		$819.00	$1,118.48	$1,788.65