Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,041.74 / $6,606.93	Facility		$691.83	$2,041.74	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $630.96 / $1,548.82	Professional		$338.84	$630.96	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $954.99 / $1,905.46	Professional		$489.78	$954.99	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $2,691.53	Professional		$794.33	$1,148.15	$2,691.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $794.33 / $1,621.81	Facility		$407.38	$794.33	$1,621.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,000.00 / $2,187.76	Professional		$602.56	$1,000.00	$2,187.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,412.54 / $1,819.70	Facility		$794.33	$1,412.54	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $758.58 / $1,479.11	Facility		$407.38	$758.58	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $954.99 / $1,949.84	Professional		$79.43	$954.99	$1,949.84
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 $660.69 / $1,071.52 / $2,187.76	Professional		$660.69	$1,071.52	$2,187.76
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 $524.81 / $891.25 / $1,548.82	Professional		$524.81	$891.25	$1,548.82