Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $13,803.84	Facility		$1,479.11	$1,905.46	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $2,041.74	Professional		$758.58	$891.25	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $1,995.26	Professional		$831.76	$1,202.26	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,348.96 / $1,548.82	Professional		$660.69	$1,348.96	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,148.15 / $1,995.26	Facility		$758.58	$1,148.15	$1,995.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $1,905.46	Professional		$1,047.13	$1,258.93	$1,905.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $1,479.11	Facility		$1,071.52	$1,412.54	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,148.15 / $1,819.70	Facility		$741.31	$1,148.15	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,348.96 / $1,905.46	Professional		$79.43	$1,348.96	$1,905.46
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 $1,348.96 / $1,584.89 / $1,905.46	Professional		$1,348.96	$1,584.89	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,380.38 / $1,995.26	Professional		$912.01	$1,380.38	$1,995.26