Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $22,908.68	Facility		$1,380.38	$1,778.28	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,905.46	Professional		$630.96	$776.25	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,230.27 / $1,905.46	Professional		$707.95	$1,230.27	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $1,659.59	Professional		$1,023.29	$1,348.96	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,071.52 / $1,819.70	Facility		$676.08	$1,071.52	$1,819.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,778.28	Professional		$1,047.13	$1,230.27	$1,778.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $1,412.54	Facility		$1,071.52	$1,348.96	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,548.82	Facility		$691.83	$1,047.13	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,318.26 / $1,862.09	Professional		$79.43	$1,318.26	$1,862.09
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 $1,202.26 / $1,412.54 / $2,041.74	Professional		$1,202.26	$1,412.54	$2,041.74
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 $870.96 / $1,288.25 / $1,819.70	Professional		$870.96	$1,288.25	$1,819.70