Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,943.28	Facility		$7,585.78	$7,585.78	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $446.68 / $2,398.83	Professional		$380.19	$446.68	$2,398.83
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 $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $177.83	Professional		$169.82	$169.82	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $7,585.78 / $20,417.38	Facility		$1,380.38	$7,585.78	$20,417.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $446.68 / $20,417.38	Professional		$380.19	$446.68	$20,417.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,187.76 / $2,187.76	Facility		$489.78	$2,187.76	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $1,659,586.91	Facility		$1,380.38	$1,659.59	$1,659,586.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $79.43	Professional		$70.79	$79.43	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,884.03 / $3,548.13	Facility		$2,238.72	$2,884.03	$3,548.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,122.02 / $2,089.30	Professional		$1,047.13	$1,122.02	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,466.84 / $7,244.36	Facility		$1,548.82	$4,466.84	$7,244.36