Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $13,803.84	Facility		$1,621.81	$2,041.74	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $2,089.30	Professional		$741.31	$870.96	$2,089.30
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 $831.76 / $1,412.54 / $2,137.96	Professional		$831.76	$1,412.54	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $1,905.46	Professional		$1,174.90	$1,548.82	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,230.27 / $1,995.26	Facility		$776.25	$1,230.27	$1,995.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $2,041.74	Professional		$1,202.26	$1,445.44	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $1,621.81	Facility		$1,202.26	$1,513.56	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,202.26 / $1,862.09	Facility		$794.33	$1,202.26	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,513.56 / $2,137.96	Professional		$79.43	$1,513.56	$2,137.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $13,489.63 / $21,877.62	Facility		$5,623.41	$13,489.63	$21,877.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $2,344.23	Professional		$1,412.54	$1,659.59	$2,344.23
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 $1,023.29 / $1,513.56 / $2,089.30	Professional		$1,023.29	$1,513.56	$2,089.30