Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,468.33 / $2,747.00 / $7,920.26	Facility		$1,468.33	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.42 / $1,020.45 / $2,350.83	Professional		$663.42	$1,020.45	$2,350.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.39 / $1,428.77 / $2,192.52	Professional		$872.39	$1,428.77	$2,192.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,438.25 / $1,684.66 / $2,021.11	Professional		$1,438.25	$1,684.66	$2,021.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $983.78 / $1,355.04 / $1,776.50	Facility		$983.78	$1,355.04	$1,776.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,137.50 / $1,326.85 / $2,047.14	Professional		$1,137.50	$1,326.85	$2,047.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,017.45 / $1,364.36 / $1,505.49	Facility		$1,017.45	$1,364.36	$1,505.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $974.32 / $1,396.86 / $1,904.98	Facility		$974.32	$1,396.86	$1,904.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,268.21 / $1,509.60 / $2,056.71	Professional		$1,268.21	$1,509.60	$2,056.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,472.14 / $39,875.19 / $51,188.76	Facility		$18,472.14	$39,875.19	$51,188.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,365.37 / $1,753.78 / $2,357.10	Professional		$1,365.37	$1,753.78	$2,357.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $979.84 / $1,465.10 / $2,299.92	Professional		$979.84	$1,465.10	$2,299.92