Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,053.85 / $7,195.86 / $25,847.71	Facility		$1,053.85	$7,195.86	$25,847.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.87 / $1,029.07 / $1,183.43	Professional		$991.87	$1,029.07	$1,183.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,053.85 / $2,107.71 / $2,107.71	Facility		$1,053.85	$2,107.71	$2,107.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Professional		$1,053.85	$1,053.85	$1,053.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $175.00 / $194.25	Professional		$150.00	$175.00	$194.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,029.07 / $1,239.83 / $2,212.50	Facility		$1,029.07	$1,239.83	$2,212.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $511.55 / $844.06 / $1,278.88	Professional		$511.55	$844.06	$1,278.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,121.76 / $1,121.76 / $79,999.20	Facility		$1,121.76	$1,121.76	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,029.07 / $1,239.83 / $2,212.50	Facility		$1,029.07	$1,239.83	$2,212.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,346.11 / $1,594.08	Professional		$1,053.85	$1,346.11	$1,594.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $996.40 / $1,494.60 / $3,226.34	Facility		$996.40	$1,494.60	$3,226.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $996.40 / $1,177.84 / $1,177.84	Professional		$996.40	$1,177.84	$1,177.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.20 / $1,033.20 / $1,188.18	Professional		$1,033.20	$1,033.20	$1,188.18