Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,513.56	Professional		$691.83	$933.25	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $3,311.31 / $4,168.69	Professional		$1,288.25	$3,311.31	$4,168.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,737.80	Facility		$1,023.29	$1,288.25	$1,737.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,348.96 / $1,862.09	Professional		$1,258.93	$1,348.96	$1,862.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,698.24	Facility		$1,659.59	$1,659.59	$1,698.24
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,412.54 / $2,089.30	Facility		$851.14	$1,412.54	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $1,479.11 / $1,778.28	Professional		$87.10	$1,479.11	$1,778.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,398.83 / $6,456.54	Facility		$1,412.54	$2,398.83	$6,456.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,905.46 / $1,905.46	Professional		$1,737.80	$1,905.46	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,511.89 / $3,388.44	Facility		$1,023.29	$2,511.89	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $776.25 / $1,479.11	Professional		$691.83	$776.25	$1,479.11