Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,479.11 / $15,848.93	Facility		$933.25	$1,479.11	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $707.95 / $1,584.89	Professional		$588.84	$707.95	$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 $645.65 / $954.99 / $1,584.89	Professional		$645.65	$954.99	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,148.15 / $1,445.44	Professional		$645.65	$1,148.15	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $891.25 / $1,445.44	Facility		$602.56	$891.25	$1,445.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,479.11	Professional		$812.83	$1,023.29	$1,479.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,202.26	Facility		$831.76	$1,148.15	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $891.25 / $1,412.54	Facility		$575.44	$891.25	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,096.48 / $1,548.82	Professional		$79.43	$1,096.48	$1,548.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $912.01 / $1,148.15	Facility		$724.44	$912.01	$1,148.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,548.82	Professional		$1,047.13	$1,230.27	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,548.82 / $6,165.95	Facility		$389.05	$1,548.82	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $1,584.89	Professional		$724.44	$1,071.52	$1,584.89