Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $7,943.28	Facility		$1,348.96	$1,737.80	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $1,778.28	Professional		$660.69	$851.14	$1,778.28
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 $831.76 / $1,348.96 / $2,137.96	Professional		$831.76	$1,348.96	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,041.74	Professional		$1,174.90	$1,584.89	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,174.90 / $1,949.84	Facility		$724.44	$1,174.90	$1,949.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $1,995.26	Professional		$1,096.48	$1,479.11	$1,995.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $1,737.80	Facility		$1,230.27	$1,584.89	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,202.26 / $1,862.09	Facility		$758.58	$1,202.26	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,479.11 / $2,041.74	Professional		$79.43	$1,479.11	$2,041.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $22,387.21	Facility		$13,803.84	$18,620.87	$22,387.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,187.76	Professional		$1,174.90	$1,584.89	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $25,703.96	Facility		$2,884.03	$17,782.79	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,479.11 / $2,089.30	Professional		$977.24	$1,479.11	$2,089.30