Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $13,182.57	Facility		$1,819.70	$2,398.83	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $2,570.40	Professional		$758.58	$1,000.00	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,621.81 / $2,630.27	Professional		$912.01	$1,621.81	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $2,344.23	Professional		$1,513.56	$1,995.26	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,348.96 / $2,238.72	Facility		$870.96	$1,348.96	$2,238.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $2,511.89	Professional		$1,122.02	$1,659.59	$2,511.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $1,949.84	Facility		$1,258.93	$1,819.70	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,288.25 / $1,949.84	Facility		$851.14	$1,288.25	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,778.28 / $2,511.89	Professional		$79.43	$1,778.28	$2,511.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $3,548.13	Facility		$2,290.87	$2,884.03	$3,548.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,995.26 / $2,884.03	Professional		$1,318.26	$1,995.26	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,311.31 / $7,413.10	Facility		$1,096.48	$3,311.31	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $2,570.40	Professional		$1,122.02	$1,737.80	$2,570.40