Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $7,943.28 / $13,803.84	Facility		$1,023.29	$7,943.28	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $549.54 / $1,318.26	Professional		$489.78	$549.54	$1,318.26
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 $537.03 / $954.99 / $1,412.54	Professional		$537.03	$954.99	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,288.25	Professional		$758.58	$1,023.29	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $851.14 / $1,348.96	Facility		$524.81	$851.14	$1,348.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $1,348.96	Professional		$794.33	$933.25	$1,348.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,071.52	Facility		$812.83	$1,023.29	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $851.14 / $1,288.25	Facility		$537.03	$851.14	$1,288.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,000.00 / $1,412.54	Professional		$79.43	$1,000.00	$1,412.54
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 $933.25 / $1,071.52 / $1,584.89	Professional		$933.25	$1,071.52	$1,584.89
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 $676.08 / $1,000.00 / $1,380.38	Professional		$676.08	$1,000.00	$1,380.38