Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $7,943.28	Facility		$1,000.00	$1,348.96	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $1,412.54	Professional		$446.68	$549.54	$1,412.54
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 $501.19 / $870.96 / $1,380.38	Professional		$501.19	$870.96	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $1,380.38	Professional		$912.01	$1,174.90	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $707.95 / $1,230.27	Facility		$489.78	$707.95	$1,230.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $1,348.96	Professional		$645.65	$912.01	$1,348.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $954.99 / $1,047.13	Facility		$676.08	$954.99	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $707.95 / $1,096.48	Facility		$489.78	$707.95	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $954.99 / $1,380.38	Professional		$79.43	$954.99	$1,380.38
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 $707.95 / $1,071.52 / $1,513.56	Professional		$707.95	$1,071.52	$1,513.56
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 $588.84 / $933.25 / $1,380.38	Professional		$588.84	$933.25	$1,380.38