Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $7,943.28	Facility		$1,202.26	$1,548.82	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $660.69 / $1,380.38	Professional		$323.59	$660.69	$1,380.38
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 $660.69 / $977.24 / $1,621.81	Professional		$660.69	$977.24	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,122.02 / $1,288.25	Professional		$549.54	$1,122.02	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $933.25 / $1,949.84	Facility		$616.60	$933.25	$1,949.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,548.82	Professional		$794.33	$1,000.00	$1,548.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,202.26	Facility		$870.96	$1,122.02	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $912.01 / $1,513.56	Facility		$588.84	$912.01	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,071.52 / $1,513.56	Professional		$79.43	$1,071.52	$1,513.56
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 $1,096.48 / $1,288.25 / $1,548.82	Professional		$1,096.48	$1,288.25	$1,548.82
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 $724.44 / $1,096.48 / $1,584.89	Professional		$724.44	$1,096.48	$1,584.89