Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,366.86 / $2,747.00 / $7,920.26	Facility		$1,366.86	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.66 / $945.48 / $2,460.69	Professional		$616.66	$945.48	$2,460.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.98 / $1,307.41 / $1,927.00	Professional		$698.98	$1,307.41	$1,927.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,101.29 / $1,446.10 / $1,776.99	Professional		$1,101.29	$1,446.10	$1,776.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $755.57 / $1,241.24 / $1,877.12	Facility		$755.57	$1,241.24	$1,877.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,005.60 / $1,216.80 / $2,058.96	Professional		$1,005.60	$1,216.80	$2,058.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $912.31 / $1,268.84 / $1,404.32	Facility		$912.31	$1,268.84	$1,404.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $816.51 / $1,378.31 / $1,877.12	Facility		$816.51	$1,378.31	$1,877.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,148.16 / $1,503.75 / $1,960.06	Professional		$1,148.16	$1,503.75	$1,960.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,540.21 / $3,540.21 / $3,540.21	Facility		$3,540.21	$3,540.21	$3,540.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,281.72 / $1,629.26 / $1,974.59	Professional		$1,281.72	$1,629.26	$1,974.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00
United Facility/Professional Professional Modifier Low / Median / High Price $968.76 / $1,400.24 / $2,159.03	Professional		$968.76	$1,400.24	$2,159.03