Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $7,943.28 / $7,943.28	Facility		$1,071.52	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $1,071.52	Professional		$575.44	$851.14	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $4,570.88	Professional		$691.83	$831.76	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $2,454.71	Professional		$1,659.59	$2,137.96	$2,454.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,071.52 / $2,238.72	Facility		$851.14	$1,071.52	$2,238.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $1,230.27	Professional		$575.44	$758.58	$1,230.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $5,370.32	Facility		$1,348.96	$1,949.84	$5,370.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,148.15 / $1,819.70	Facility		$616.60	$1,148.15	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,995.26 / $4,570.88	Professional		$79.43	$1,995.26	$4,570.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $13,803.84 / $16,595.87	Facility		$10,715.19	$13,803.84	$16,595.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $2,630.27	Professional		$1,584.89	$1,949.84	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $16,218.10 / $23,988.33	Facility		$2,884.03	$16,218.10	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,905.46 / $2,884.03	Professional		$1,174.90	$1,905.46	$2,884.03