Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $5,888.44 / $19,054.61	Facility		$1,380.38	$5,888.44	$19,054.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $2,454.71 / $5,495.41	Professional		$676.08	$2,454.71	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $2,570.40 / $7,079.46	Professional		$912.01	$2,570.40	$7,079.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,570.40 / $6,606.93	Professional		$1,148.15	$2,570.40	$6,606.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,187.76 / $6,456.54	Facility		$676.08	$2,187.76	$6,456.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $3,890.45 / $6,309.57	Professional		$1,148.15	$3,890.45	$6,309.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,011.87 / $6,165.95	Facility		$3,801.89	$5,011.87	$6,165.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,862.09 / $6,025.60	Facility		$676.08	$1,862.09	$6,025.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,819.70 / $6,606.93	Professional		$79.43	$1,819.70	$6,606.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $18,620.87 / $22,387.21	Facility		$13,489.63	$18,620.87	$22,387.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,290.87 / $6,456.54	Professional		$1,288.25	$2,290.87	$6,456.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $25,703.96	Facility		$1,995.26	$10,232.93	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,570.40 / $6,760.83	Professional		$1,023.29	$2,570.40	$6,760.83