Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $7,943.28	Facility		$1,479.11	$1,949.84	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $2,089.30	Professional		$691.83	$831.76	$2,089.30
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 $794.33 / $1,348.96 / $2,041.74	Professional		$794.33	$1,348.96	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $1,819.70	Professional		$1,148.15	$1,513.56	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,174.90 / $1,862.09	Facility		$741.31	$1,174.90	$1,862.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $1,949.84	Professional		$1,148.15	$1,348.96	$1,949.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,513.56	Facility		$1,230.27	$1,445.44	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,174.90 / $1,698.24	Facility		$758.58	$1,174.90	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,412.54 / $2,041.74	Professional		$79.43	$1,412.54	$2,041.74
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 $1,348.96 / $1,548.82 / $2,187.76	Professional		$1,348.96	$1,548.82	$2,187.76
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 $977.24 / $1,445.44 / $2,041.74	Professional		$977.24	$1,445.44	$2,041.74