Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $15,848.93	Facility		$1,288.25	$1,659.59	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $1,621.81	Professional		$588.84	$724.44	$1,621.81
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 $676.08 / $1,174.90 / $1,737.80	Professional		$676.08	$1,174.90	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,513.56	Professional		$977.24	$1,288.25	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,047.13 / $1,659.59	Facility		$630.96	$1,047.13	$1,659.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,621.81	Professional		$1,000.00	$1,174.90	$1,621.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $1,318.26	Facility		$1,023.29	$1,258.93	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,047.13 / $1,445.44	Facility		$630.96	$1,047.13	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,202.26 / $1,698.24	Professional		$79.43	$1,202.26	$1,698.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $16,218.10 / $22,387.21	Facility		$6,456.54	$16,218.10	$22,387.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $1,862.09	Professional		$1,122.02	$1,288.25	$1,862.09
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 $851.14 / $1,230.27 / $1,737.80	Professional		$851.14	$1,230.27	$1,737.80