Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,015.25 / $2,747.00 / $7,920.26	Facility		$1,015.25	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.31 / $686.16 / $1,616.21	Professional		$478.31	$686.16	$1,616.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $605.86 / $994.58 / $1,512.44	Professional		$605.86	$994.58	$1,512.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $947.94 / $1,112.82 / $1,332.09	Professional		$947.94	$1,112.82	$1,332.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $651.85 / $926.90 / $1,235.25	Facility		$651.85	$926.90	$1,235.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $824.40 / $911.40 / $1,372.92	Professional		$824.40	$911.40	$1,372.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $703.80 / $945.44 / $1,045.20	Facility		$703.80	$945.44	$1,045.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $669.51 / $957.03 / $1,330.06	Facility		$669.51	$957.03	$1,330.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $917.37 / $1,049.92 / $1,432.55	Professional		$917.37	$1,049.92	$1,432.55
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 $953.30 / $1,217.58 / $1,636.44	Professional		$953.30	$1,217.58	$1,636.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $713.76 / $1,026.03 / $1,605.79	Professional		$713.76	$1,026.03	$1,605.79