Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,206.64 / $2,747.00 / $7,920.26	Facility		$1,206.64	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.57 / $837.20 / $2,235.42	Professional		$519.57	$837.20	$2,235.42
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 $626.69 / $1,143.01 / $1,699.85	Professional		$626.69	$1,143.01	$1,699.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $972.05 / $1,276.39 / $1,571.23	Professional		$972.05	$1,276.39	$1,571.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $688.12 / $1,078.47 / $1,520.20	Facility		$688.12	$1,078.47	$1,520.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $869.40 / $1,054.01 / $1,816.32	Professional		$869.40	$1,054.01	$1,816.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $784.41 / $1,084.73 / $1,238.83	Facility		$784.41	$1,084.73	$1,238.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $721.21 / $1,163.49 / $1,576.33	Facility		$721.21	$1,163.49	$1,576.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $960.75 / $1,315.18 / $1,725.40	Professional		$960.75	$1,315.18	$1,725.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,114.33 / $3,114.33 / $3,114.33	Facility		$3,114.33	$3,114.33	$3,114.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,129.81 / $1,437.21 / $1,740.56	Professional		$1,129.81	$1,437.21	$1,740.56
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 $827.63 / $1,194.13 / $1,917.33	Professional		$827.63	$1,194.13	$1,917.33