Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,238.72 / $7,943.28	Facility		$1,258.93	$2,238.72	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $2,454.71	Professional		$831.76	$1,023.29	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,621.81 / $2,511.89	Professional		$912.01	$1,621.81	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $2,187.76	Professional		$1,318.26	$1,737.80	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,380.38 / $2,137.96	Facility		$891.25	$1,380.38	$2,137.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,621.81 / $2,344.23	Professional		$1,348.96	$1,621.81	$2,344.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $1,819.70	Facility		$1,380.38	$1,737.80	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,380.38 / $1,995.26	Facility		$912.01	$1,380.38	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,698.24 / $2,454.71	Professional		$79.43	$1,698.24	$2,454.71
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 $1,584.89 / $1,862.09 / $2,630.27	Professional		$1,584.89	$1,862.09	$2,630.27
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 $1,174.90 / $1,737.80 / $2,454.71	Professional		$1,174.90	$1,737.80	$2,454.71