Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $21,877.62	Facility		$1,698.24	$2,187.76	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $954.99 / $2,344.23	Professional		$776.25	$954.99	$2,344.23
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 $851.14 / $1,513.56 / $2,344.23	Professional		$851.14	$1,513.56	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,041.74	Professional		$1,230.27	$1,659.59	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,288.25 / $2,089.30	Facility		$831.76	$1,288.25	$2,089.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $2,187.76	Professional		$1,258.93	$1,513.56	$2,187.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $1,698.24	Facility		$1,318.26	$1,621.81	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,288.25 / $1,819.70	Facility		$851.14	$1,288.25	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,584.89 / $2,238.72	Professional		$79.43	$1,584.89	$2,238.72
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 $1,445.44 / $1,737.80 / $2,511.89	Professional		$1,445.44	$1,737.80	$2,511.89
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 $1,096.48 / $1,621.81 / $2,290.87	Professional		$1,096.48	$1,621.81	$2,290.87