Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $13,182.57	Facility		$1,202.26	$1,548.82	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $660.69 / $1,659.59	Professional		$549.54	$660.69	$1,659.59
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 $630.96 / $1,071.52 / $1,621.81	Professional		$630.96	$1,071.52	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,445.44	Professional		$912.01	$1,230.27	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $933.25 / $1,479.11	Facility		$602.56	$933.25	$1,479.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,071.52 / $1,548.82	Professional		$933.25	$1,071.52	$1,548.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,230.27	Facility		$954.99	$1,122.02	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $954.99 / $1,412.54	Facility		$602.56	$954.99	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,122.02 / $1,621.81	Professional		$79.43	$1,122.02	$1,621.81
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 $1,071.52 / $1,230.27 / $1,737.80	Professional		$1,071.52	$1,230.27	$1,737.80
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 $776.25 / $1,148.15 / $1,621.81	Professional		$776.25	$1,148.15	$1,621.81