Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,586.59 / $7,920.26 / $22,797.24	Facility		$1,586.59	$7,920.26	$22,797.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.87 / $991.99 / $2,254.96	Professional		$656.87	$991.99	$2,254.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.33 / $1,393.10 / $2,106.40	Professional		$814.33	$1,393.10	$2,106.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,338.13 / $1,568.49 / $1,881.74	Professional		$1,338.13	$1,568.49	$1,881.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.57 / $1,270.80 / $1,722.06	Facility		$851.57	$1,270.80	$1,722.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,088.64 / $1,252.96 / $1,889.95	Professional		$1,088.64	$1,252.96	$1,889.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $927.57 / $1,312.53 / $1,435.14	Facility		$927.57	$1,312.53	$1,435.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.57 / $1,296.42 / $1,844.92	Facility		$851.57	$1,296.42	$1,844.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,210.47 / $1,463.92 / $1,990.25	Professional		$1,210.47	$1,463.92	$1,990.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,629.08 / $16,468.63 / $21,141.18	Facility		$7,629.08	$16,468.63	$21,141.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,322.31 / $1,671.83 / $2,246.96	Professional		$1,322.31	$1,671.83	$2,246.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $996.48 / $1,399.43 / $2,266.09	Professional		$996.48	$1,399.43	$2,266.09