Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $13,182.57	Facility		$1,230.27	$1,584.89	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $691.83 / $1,698.24	Professional		$549.54	$691.83	$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 $457.09 / $1,096.48 / $1,621.81	Professional		$457.09	$1,096.48	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,513.56	Professional		$912.01	$1,258.93	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $851.14 / $1,445.44	Facility		$616.60	$851.14	$1,445.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,548.82	Professional		$870.96	$1,096.48	$1,548.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,258.93	Facility		$831.76	$1,148.15	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $851.14 / $1,445.44	Facility		$588.84	$851.14	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,202.26 / $1,659.59	Professional		$79.43	$1,202.26	$1,659.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,964.78	Facility		$6,606.93	$8,912.51	$10,964.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,698.24	Professional		$1,122.02	$1,318.26	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $9,120.11 / $12,882.50	Facility		$1,621.81	$9,120.11	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,174.90 / $1,737.80	Professional		$660.69	$1,174.90	$1,737.80