Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $5,623.41 / $11,220.18	Facility		$1,380.38	$5,623.41	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $794.33 / $2,818.38	Professional		$501.19	$794.33	$2,818.38
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 $602.56 / $1,096.48 / $1,659.59	Professional		$602.56	$1,096.48	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,479.11	Professional		$954.99	$1,258.93	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,000.00 / $6,025.60	Facility		$602.56	$1,000.00	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,621.81	Professional		$794.33	$1,071.52	$1,621.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,230.27	Facility		$831.76	$1,148.15	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $870.96 / $1,318.26	Facility		$602.56	$870.96	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,122.02 / $1,659.59	Professional		$79.43	$1,122.02	$1,659.59
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 Facility Modifier 50 Low / Median / High Price $7,244.36 / $9,120.11 / $11,220.18	Facility	50	$7,244.36	$9,120.11	$11,220.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $1,737.80	Professional		$1,023.29	$1,258.93	$1,737.80
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 $776.25 / $1,148.15 / $1,621.81	Professional		$776.25	$1,148.15	$1,621.81