Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $13,182.57	Facility		$1,288.25	$1,698.24	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $1,819.70	Professional		$602.56	$724.44	$1,819.70
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 / $1,778.28	Professional		$676.08	$1,174.90	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $1,584.89	Professional		$1,000.00	$1,348.96	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,000.00 / $1,621.81	Facility		$645.65	$1,000.00	$1,621.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,698.24	Professional		$977.24	$1,148.15	$1,698.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $1,318.26	Facility		$1,000.00	$1,230.27	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $977.24 / $1,412.54	Facility		$660.69	$977.24	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,230.27 / $1,737.80	Professional		$79.43	$1,230.27	$1,737.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $1,905.46	Professional		$1,148.15	$1,348.96	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $31,622.78	Facility		$2,137.96	$13,182.57	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,258.93 / $1,778.28	Professional		$851.14	$1,258.93	$1,778.28