Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $7,943.28	Facility		$1,096.48	$1,412.54	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $660.69 / $1,380.38	Professional		$398.11	$660.69	$1,380.38
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 $549.54 / $977.24 / $1,778.28	Professional		$549.54	$977.24	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,318.26	Professional		$851.14	$1,122.02	$1,318.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,000.00 / $3,162.28	Facility		$562.34	$1,000.00	$3,162.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,071.52 / $1,862.09	Professional		$707.95	$1,071.52	$1,862.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,096.48 / $1,174.90	Facility		$741.31	$1,096.48	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,000.00 / $3,019.95	Facility		$575.44	$1,000.00	$3,019.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,122.02 / $1,698.24	Professional		$79.43	$1,122.02	$1,698.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $6,165.95 / $7,413.10	Facility		$4,897.79	$6,165.95	$7,413.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,174.90 / $1,737.80	Professional		$794.33	$1,174.90	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $8,511.38	Facility		$1,698.24	$5,754.40	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,096.48 / $1,819.70	Professional		$645.65	$1,096.48	$1,819.70