Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $7,943.28 / $15,848.93	Facility		$1,288.25	$7,943.28	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $1,621.81	Professional		$588.84	$724.44	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,174.90 / $1,778.28	Professional		$660.69	$1,174.90	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $1,548.82	Professional		$977.24	$1,318.26	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,023.29 / $1,737.80	Facility		$645.65	$1,023.29	$1,737.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,659.59	Professional		$977.24	$1,148.15	$1,659.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,318.26	Facility		$977.24	$1,230.27	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,000.00 / $1,412.54	Facility		$660.69	$1,000.00	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,202.26 / $1,737.80	Professional		$79.43	$1,202.26	$1,737.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $42,657.95 / $53,703.18	Facility		$33,884.42	$42,657.95	$53,703.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $1,905.46	Professional		$1,148.15	$1,318.26	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $56,234.13	Facility		$2,884.03	$17,782.79	$56,234.13
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $1,737.80	Professional		$851.14	$1,230.27	$1,737.80