Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $7,943.28	Facility		$1,348.96	$1,698.24	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $1,659.59	Professional		$630.96	$794.33	$1,659.59
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 $691.83 / $1,202.26 / $1,905.46	Professional		$691.83	$1,202.26	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,584.89	Professional		$933.25	$1,230.27	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,071.52 / $1,737.80	Facility		$660.69	$1,071.52	$1,737.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $1,737.80	Professional		$1,023.29	$1,230.27	$1,737.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $1,348.96	Facility		$1,071.52	$1,318.26	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,047.13 / $1,548.82	Facility		$660.69	$1,047.13	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,288.25 / $1,819.70	Professional		$79.43	$1,288.25	$1,819.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $1,949.84	Professional		$1,258.93	$1,412.54	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,348.96 / $1,862.09	Professional		$891.25	$1,348.96	$1,862.09