Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $13,182.57	Facility		$1,698.24	$2,187.76	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $954.99 / $2,344.23	Professional		$776.25	$954.99	$2,344.23
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 $870.96 / $1,513.56 / $2,344.23	Professional		$870.96	$1,513.56	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,041.74	Professional		$1,288.25	$1,698.24	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,348.96 / $2,089.30	Facility		$851.14	$1,348.96	$2,089.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $2,290.87	Professional		$1,288.25	$1,548.82	$2,290.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $1,737.80	Facility		$1,380.38	$1,659.59	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,348.96 / $1,862.09	Facility		$851.14	$1,348.96	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,621.81 / $2,290.87	Professional		$79.43	$1,621.81	$2,290.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,737.80 / $2,511.89	Professional		$1,513.56	$1,737.80	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $2,290.87	Professional		$1,122.02	$1,659.59	$2,290.87