Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $7,943.28	Facility		$1,412.54	$1,949.84	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,995.26	Professional		$676.08	$851.14	$1,995.26
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 $562.34 / $1,348.96 / $1,995.26	Professional		$562.34	$1,348.96	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $1,819.70	Professional		$1,122.02	$1,513.56	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,778.28	Facility		$741.31	$1,047.13	$1,778.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $1,905.46	Professional		$1,122.02	$1,348.96	$1,905.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $1,584.89	Facility		$1,148.15	$1,412.54	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,659.59	Facility		$724.44	$1,047.13	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,445.44 / $2,089.30	Professional		$79.43	$1,445.44	$2,089.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,897.79 / $8,128.31	Facility		$1,698.24	$4,897.79	$8,128.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $2,137.96	Professional		$1,348.96	$1,584.89	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,454.71 / $7,244.36	Facility		$794.33	$2,454.71	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,412.54 / $2,041.74	Professional		$870.96	$1,412.54	$2,041.74