Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,235.94 / $7,943.28	Facility		$2,511.89	$3,235.94	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,318.26 / $3,388.44	Professional		$660.69	$1,318.26	$3,388.44
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 $1,096.48 / $2,137.96 / $3,467.37	Professional		$1,096.48	$2,137.96	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,454.71 / $3,019.95	Professional		$1,862.09	$2,454.71	$3,019.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,513.56 / $3,090.30	Facility		$851.14	$1,513.56	$3,090.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,089.30 / $3,019.95	Professional		$1,000.00	$2,089.30	$3,019.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,454.71 / $2,511.89	Facility		$1,202.26	$2,454.71	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,380.38 / $2,570.40	Facility		$794.33	$1,380.38	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,344.23 / $3,311.31	Professional		$79.43	$2,344.23	$3,311.31
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 $1,698.24 / $2,570.40 / $3,715.35	Professional		$1,698.24	$2,570.40	$3,715.35
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 $1,047.13 / $2,398.83 / $3,388.44	Professional		$1,047.13	$2,398.83	$3,388.44