Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.02 / $2,747.00 / $7,920.26	Facility		$1,045.02	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.01 / $689.98 / $2,000.99	Professional		$371.01	$689.98	$2,000.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.97 / $1,123.30 / $1,994.94	Professional		$575.97	$1,123.30	$1,994.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $944.41 / $1,227.69 / $1,801.21	Professional		$944.41	$1,227.69	$1,801.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $481.24 / $987.62 / $1,519.80	Facility		$481.24	$987.62	$1,519.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $615.05 / $1,001.66 / $1,630.50	Professional		$615.05	$1,001.66	$1,630.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $649.23 / $1,179.46 / $1,471.32	Facility		$649.23	$1,179.46	$1,471.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $496.45 / $1,041.90 / $1,928.15	Facility		$496.45	$1,041.90	$1,928.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $740.60 / $1,222.38 / $1,928.15	Professional		$740.60	$1,222.38	$1,928.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,493.64 / $17,289.84 / $21,922.68	Facility		$13,493.64	$17,289.84	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $868.16 / $1,323.66 / $2,098.46	Professional		$868.16	$1,323.66	$2,098.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $925.52 / $1,345.95 / $2,368.35	Professional		$925.52	$1,345.95	$2,368.35