Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.55 / $5,649.00 / $15,341.00	Facility		$1,245.55	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.24 / $792.91 / $1,866.51	Professional		$471.24	$792.91	$1,866.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $2,406.86	Facility		$2,310.00	$2,310.00	$2,406.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.35 / $1,075.88 / $1,556.15	Professional		$548.35	$1,075.88	$1,556.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $911.31 / $1,196.64 / $1,482.83	Professional		$911.31	$1,196.64	$1,482.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $617.83 / $966.97 / $1,447.64	Facility		$617.83	$966.97	$1,447.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $780.45 / $979.11 / $1,691.58	Professional		$780.45	$979.11	$1,691.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $730.63 / $1,017.06 / $1,153.74	Facility		$730.63	$1,017.06	$1,153.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $635.47 / $1,101.46 / $1,984.03	Facility		$635.47	$1,101.46	$1,984.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $904.00 / $1,229.08 / $1,593.95	Professional		$904.00	$1,229.08	$1,593.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,607.31 / $8,780.14 / $10,511.02	Facility		$6,607.31	$8,780.14	$10,511.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,052.93 / $1,344.02 / $1,622.12	Professional		$1,052.93	$1,344.02	$1,622.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $772.14 / $1,112.97 / $1,773.63	Professional		$772.14	$1,112.97	$1,773.63