Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,659.59 / $7,943.28	Facility		$954.99	$1,659.59	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $691.83 / $1,621.81	Professional		$407.38	$691.83	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,047.13 / $1,905.46	Professional		$524.81	$1,047.13	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,949.84	Professional		$891.25	$1,230.27	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $831.76 / $1,584.89	Facility		$446.68	$831.76	$1,584.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,023.29 / $1,737.80	Professional		$616.60	$1,023.29	$1,737.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,202.26 / $1,479.11	Facility		$812.83	$1,202.26	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $831.76 / $1,513.56	Facility		$436.52	$831.76	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,023.29 / $1,819.70	Professional		$79.43	$1,023.29	$1,819.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $18,620.87 / $22,387.21	Facility		$13,489.63	$18,620.87	$22,387.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $1,819.70	Professional		$794.33	$1,148.15	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $25,703.96	Facility		$1,698.24	$5,754.40	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $977.24 / $1,698.24	Professional		$575.44	$977.24	$1,698.24