Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $15,848.93	Facility		$1,174.90	$1,548.82	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $660.69 / $1,659.59	Professional		$524.81	$660.69	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,071.52 / $1,621.81	Professional		$616.60	$1,071.52	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,445.44	Professional		$870.96	$1,148.15	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $870.96 / $1,445.44	Facility		$562.34	$870.96	$1,445.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,445.44	Professional		$851.14	$1,023.29	$1,445.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,202.26	Facility		$870.96	$1,122.02	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $870.96 / $1,380.38	Facility		$562.34	$870.96	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,071.52 / $1,548.82	Professional		$79.43	$1,071.52	$1,548.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $6,760.83 / $14,454.40	Facility		$4,897.79	$6,760.83	$14,454.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $1,698.24	Professional		$1,000.00	$1,202.26	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $11,748.98 / $26,302.68	Facility		$2,137.96	$11,748.98	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $1,584.89	Professional		$741.31	$1,096.48	$1,584.89