Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,398.83 / $7,943.28	Facility		$1,445.44	$2,398.83	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $2,691.53	Professional		$891.25	$1,122.02	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,698.24 / $2,511.89	Professional		$562.34	$1,698.24	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $2,290.87	Professional		$1,348.96	$1,862.09	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,348.96 / $2,344.23	Facility		$954.99	$1,348.96	$2,344.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $2,398.83	Professional		$1,412.54	$1,778.28	$2,398.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $1,949.84	Facility		$1,412.54	$1,905.46	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,348.96 / $2,238.72	Facility		$912.01	$1,348.96	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,905.46 / $2,630.27	Professional		$79.43	$1,905.46	$2,630.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility		$5,011.87	$5,011.87	$5,011.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,041.74 / $2,630.27	Professional		$1,778.28	$2,041.74	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $7,585.78 / $31,622.78	Facility		$1,412.54	$7,585.78	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,905.46 / $2,754.23	Professional		$1,071.52	$1,905.46	$2,754.23