Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $13,182.57	Facility		$1,949.84	$2,511.89	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,148.15 / $2,630.27	Professional		$954.99	$1,148.15	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,584.89 / $2,630.27	Professional		$1,071.52	$1,584.89	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,778.28 / $2,041.74	Professional		$891.25	$1,778.28	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,513.56 / $2,570.40	Facility		$977.24	$1,513.56	$2,570.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $2,511.89	Professional		$1,318.26	$1,584.89	$2,511.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $1,949.84	Facility		$1,318.26	$1,819.70	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,479.11 / $2,344.23	Facility		$933.25	$1,479.11	$2,344.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,737.80 / $2,454.71	Professional		$79.43	$1,737.80	$2,454.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $7,413.10 / $8,912.51	Facility		$5,754.40	$7,413.10	$8,912.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $2,511.89	Professional		$1,778.28	$2,089.30	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,365.16 / $10,000.00	Facility		$389.05	$4,365.16	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,778.28 / $2,570.40	Professional		$1,174.90	$1,778.28	$2,570.40