Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $7,943.28	Facility		$1,380.38	$1,819.70	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $1,737.80	Professional		$630.96	$758.58	$1,737.80
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 $707.95 / $1,258.93 / $1,862.09	Professional		$707.95	$1,258.93	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $1,698.24	Professional		$1,071.52	$1,445.44	$1,698.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,698.24	Facility		$691.83	$1,071.52	$1,698.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,778.28	Professional		$1,023.29	$1,202.26	$1,778.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,288.25 / $1,412.54	Facility		$954.99	$1,288.25	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,513.56	Facility		$691.83	$1,047.13	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,288.25 / $1,862.09	Professional		$79.43	$1,288.25	$1,862.09
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 $1,202.26 / $1,412.54 / $1,995.26	Professional		$1,202.26	$1,412.54	$1,995.26
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 $891.25 / $1,318.26 / $1,862.09	Professional		$891.25	$1,318.26	$1,862.09