Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $7,943.28	Facility		$1,174.90	$1,584.89	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $1,659.59	Professional		$537.03	$676.08	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
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 $1,023.29 / $1,348.96 / $1,584.89	Professional		$1,023.29	$1,348.96	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $891.25 / $1,445.44	Facility		$588.84	$891.25	$1,445.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,584.89	Professional		$870.96	$1,122.02	$1,584.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,258.93	Facility		$851.14	$1,174.90	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $891.25 / $1,412.54	Facility		$602.56	$891.25	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,148.15 / $1,621.81	Professional		$79.43	$1,148.15	$1,621.81
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 $1,000.00 / $1,288.25 / $1,819.70	Professional		$1,000.00	$1,288.25	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,120.11 / $12,882.50	Facility		$1,995.26	$9,120.11	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,174.90 / $1,621.81	Professional		$794.33	$1,174.90	$1,621.81