Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,137.96 / $6,025.60	Facility		$575.44	$2,137.96	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $524.81 / $1,548.82	Professional		$229.09	$524.81	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $2,041.74	Facility		$1,096.48	$1,096.48	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $660.69 / $2,041.74	Professional		$288.40	$660.69	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $2,137.96	Professional		$398.11	$602.56	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $831.76 / $1,949.84	Facility		$245.47	$831.76	$1,949.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,000.00 / $2,089.30	Professional		$389.05	$1,000.00	$2,089.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,513.56 / $1,659.59	Facility		$933.25	$1,513.56	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $660.69 / $1,737.80	Facility		$229.09	$660.69	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $630.96 / $2,089.30	Professional		$302.00	$630.96	$2,089.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,715.35 / $4,466.84	Facility		$2,818.38	$3,715.35	$4,466.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,258.93 / $2,041.74	Professional		$446.68	$1,258.93	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,897.79 / $7,244.36	Facility		$1,548.82	$4,897.79	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $812.83 / $1,949.84	Professional		$363.08	$812.83	$1,949.84