Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.84 / $1,464.54 / $12,648.05	Facility		$795.84	$1,464.54	$12,648.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.32 / $603.91 / $2,070.19	Professional		$372.32	$603.91	$2,070.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.75 / $1,089.75 / $1,664.70	Facility		$1,089.75	$1,089.75	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.68 / $932.78 / $1,495.55	Professional		$508.68	$932.78	$1,495.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $816.26 / $1,060.45 / $1,361.65	Professional		$816.26	$1,060.45	$1,361.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $521.87 / $873.19 / $1,361.74	Facility		$521.87	$873.19	$1,361.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $692.37 / $896.10 / $1,385.64	Professional		$692.37	$896.10	$1,385.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $613.20 / $1,005.43 / $1,122.25	Facility		$613.20	$1,005.43	$1,122.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $527.34 / $923.51 / $1,461.52	Facility		$527.34	$923.51	$1,461.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $784.32 / $1,073.09 / $1,453.77	Professional		$784.32	$1,073.09	$1,453.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,830.49 / $3,876.82 / $4,673.63	Facility		$2,830.49	$3,876.82	$4,673.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $807.70 / $1,091.33 / $1,531.42	Professional		$807.70	$1,091.33	$1,531.42
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 $770.77 / $1,105.20 / $1,761.25	Professional		$770.77	$1,105.20	$1,761.25