Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.30 / $2,747.00 / $7,920.26	Facility		$767.30	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.83 / $634.98 / $1,832.79	Professional		$316.83	$634.98	$1,832.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.20 / $938.94 / $2,167.34	Professional		$512.20	$938.94	$2,167.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $859.45 / $1,092.95 / $2,169.37	Professional		$859.45	$1,092.95	$2,169.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.34 / $902.11 / $1,595.26	Facility		$467.34	$902.11	$1,595.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $601.79 / $988.80 / $1,895.11	Professional		$601.79	$988.80	$1,895.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $625.11 / $1,193.94 / $1,829.10	Facility		$625.11	$1,193.94	$1,829.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.34 / $902.11 / $1,827.50	Facility		$467.34	$902.11	$1,827.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $650.84 / $1,046.33 / $1,797.18	Professional		$650.84	$1,046.33	$1,797.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,846.16 / $6,142.31 / $7,227.91	Facility		$4,846.16	$6,142.31	$7,227.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $668.80 / $1,118.02 / $2,130.77	Professional		$668.80	$1,118.02	$2,130.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $837.54 / $1,229.58 / $2,050.04	Professional		$837.54	$1,229.58	$2,050.04