Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,495.41 / $19,054.61	Facility		$1,122.02	$5,495.41	$19,054.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,698.24	Professional		$537.03	$758.58	$1,698.24
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 $691.83 / $1,174.90 / $1,949.84	Professional		$691.83	$1,174.90	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $1,819.70	Professional		$954.99	$1,380.38	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,047.13 / $1,862.09	Facility		$630.96	$1,047.13	$1,862.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,737.80	Professional		$870.96	$1,202.26	$1,737.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $1,479.11	Facility		$1,000.00	$1,380.38	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,023.29 / $1,548.82	Facility		$630.96	$1,023.29	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,258.93 / $1,862.09	Professional		$79.43	$1,258.93	$1,862.09
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 $1,000.00 / $1,412.54 / $1,905.46	Professional		$1,000.00	$1,412.54	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $25,703.96	Facility		$1,698.24	$5,754.40	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,230.27 / $1,819.70	Professional		$794.33	$1,230.27	$1,819.70