Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $7,943.28 / $7,943.28	Facility		$1,698.24	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,698.24	Professional		$851.14	$1,148.15	$1,698.24
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 $602.56 / $2,089.30 / $3,090.30	Professional		$602.56	$2,089.30	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $2,818.38	Professional		$1,698.24	$2,187.76	$2,818.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $2,754.23	Facility		$1,096.48	$1,548.82	$2,754.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $1,778.28	Professional		$851.14	$1,202.26	$1,778.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $2,344.23	Facility		$1,584.89	$2,137.96	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $2,570.40	Facility		$1,071.52	$1,513.56	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $3,019.95	Professional		$70.79	$87.10	$3,019.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,454.71 / $3,162.28	Professional		$2,137.96	$2,454.71	$3,162.28
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 $1,258.93 / $2,041.74 / $3,019.95	Professional		$1,258.93	$2,041.74	$3,019.95