Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $2,951.21 / $6,606.93	Facility		$107.15	$2,951.21	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $1,174.90 / $2,398.83	Professional		$56.23	$1,174.90	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $1,071.52 / $3,235.94	Professional		$63.10	$1,071.52	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $208.93 / $3,090.30	Professional		$66.07	$208.93	$3,090.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $1,412.54 / $3,388.44	Facility		$47.86	$1,412.54	$3,388.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $1,258.93 / $2,951.21	Professional		$64.57	$1,258.93	$2,951.21
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Professional	50	$6,025.60	$6,025.60	$6,025.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $2,691.53	Facility		$1,778.28	$2,187.76	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $1,288.25 / $3,019.95	Facility		$48.98	$1,288.25	$3,019.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $131.83 / $3,162.28	Professional		$77.62	$131.83	$3,162.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,162.28 / $3,801.89	Facility		$2,290.87	$3,162.28	$3,801.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $147.91 / $3,090.30	Professional		$95.50	$147.91	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,897.79 / $7,413.10	Facility		$1,698.24	$4,897.79	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $1,148.15 / $3,311.31	Professional		$87.10	$1,148.15	$3,311.31