Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,584.89 / $7,943.28	Facility		$758.58	$1,584.89	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $1,584.89	Professional		$512.86	$776.25	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $977.24 / $1,737.80	Professional		$588.84	$977.24	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,023.29 / $1,698.24	Professional		$691.83	$1,023.29	$1,698.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $933.25 / $1,659.59	Facility		$512.86	$933.25	$1,659.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,122.02 / $1,621.81	Professional		$707.95	$1,122.02	$1,621.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,318.26 / $1,380.38	Facility		$933.25	$1,318.26	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $891.25 / $1,548.82	Facility		$501.19	$891.25	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,047.13 / $1,621.81	Professional		$79.43	$1,047.13	$1,621.81
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 $933.25 / $1,288.25 / $1,778.28	Professional		$933.25	$1,288.25	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $10,000.00	Facility		$1,698.24	$5,754.40	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,096.48 / $1,778.28	Professional		$676.08	$1,096.48	$1,778.28