Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $7,943.28	Facility		$1,513.56	$1,905.46	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $2,041.74	Professional		$676.08	$851.14	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,348.96 / $2,041.74	Professional		$758.58	$1,348.96	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $1,778.28	Professional		$1,096.48	$1,445.44	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,122.02 / $1,819.70	Facility		$724.44	$1,122.02	$1,819.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $1,905.46	Professional		$1,122.02	$1,348.96	$1,905.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $1,479.11	Facility		$1,174.90	$1,445.44	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,122.02 / $1,698.24	Facility		$741.31	$1,122.02	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,412.54 / $1,995.26	Professional		$79.43	$1,412.54	$1,995.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,232.93 / $12,302.69	Facility		$7,413.10	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,513.56 / $2,187.76	Professional		$1,318.26	$1,513.56	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,454.40	Facility		$1,995.26	$10,000.00	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,445.44 / $1,995.26	Professional		$977.24	$1,445.44	$1,995.26