Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $7,943.28	Facility		$1,318.26	$1,698.24	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $1,778.28	Professional		$588.84	$724.44	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,174.90 / $1,737.80	Professional		$524.81	$1,174.90	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $1,584.89	Professional		$954.99	$1,318.26	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $933.25 / $1,548.82	Facility		$660.69	$933.25	$1,548.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,148.15 / $1,659.59	Professional		$954.99	$1,148.15	$1,659.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $1,348.96	Facility		$1,000.00	$1,230.27	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $933.25 / $1,548.82	Facility		$630.96	$933.25	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,288.25 / $1,819.70	Professional		$79.43	$1,288.25	$1,819.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $12,022.64 / $14,791.08	Facility		$8,709.64	$12,022.64	$14,791.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $1,819.70	Professional		$1,174.90	$1,412.54	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $12,882.50 / $25,118.86	Facility		$1,995.26	$12,882.50	$25,118.86
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,258.93 / $1,862.09	Professional		$741.31	$1,258.93	$1,862.09