Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.98 / $472.98 / $472.98	Facility		$472.98	$472.98	$472.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,326.36 / $2,326.37 / $2,326.37	Professional		$2,326.36	$2,326.37	$2,326.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,108.89 / $5,108.89 / $5,108.89	Facility		$5,108.89	$5,108.89	$5,108.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,554.44 / $2,554.44 / $2,554.44	Professional		$2,554.44	$2,554.44	$2,554.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.23 / $218.74 / $262.13	Professional		$98.23	$218.74	$262.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $182.23 / $3,010.60 / $5,001.70	Facility		$182.23	$3,010.60	$5,001.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $2,598.00 / $5,904.55	Professional		$143.75	$2,598.00	$5,904.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $169.40 / $203.47 / $780.00	Facility		$169.40	$203.47	$780.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,200.42 / $3,326.71 / $6,460.41	Facility		$1,200.42	$3,326.71	$6,460.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.36 / $2,400.83 / $2,728.21	Professional		$149.36	$2,400.83	$2,728.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,073.13 / $3,603.54 / $7,309.20	Facility		$2,073.13	$3,603.54	$7,309.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,463.21 / $2,463.21 / $2,463.21	Professional		$2,463.21	$2,463.21	$2,463.21
United Facility/Professional Professional Modifier Low / Median / High Price $2,349.17 / $2,736.91 / $2,819.02	Professional		$2,349.17	$2,736.91	$2,819.02