Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,258.93 / $6,606.93	Facility		$831.76	$1,258.93	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $1,318.26	Professional		$489.78	$602.56	$1,318.26
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 $537.03 / $812.83 / $1,348.96	Professional		$537.03	$812.83	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,000.00 / $1,288.25	Professional		$562.34	$1,000.00	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $758.58 / $1,258.93	Facility		$524.81	$758.58	$1,258.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,258.93	Professional		$707.95	$891.25	$1,258.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,071.52	Facility		$707.95	$1,000.00	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $741.31 / $1,202.26	Facility		$478.63	$741.31	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $912.01 / $1,318.26	Professional		$79.43	$912.01	$1,318.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $2,187.76	Facility		$1,412.54	$1,819.70	$2,187.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,096.48 / $1,380.38	Professional		$912.01	$1,096.48	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,398.83 / $7,413.10	Facility		$1,096.48	$2,398.83	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $912.01 / $1,380.38	Professional		$602.56	$912.01	$1,380.38