Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,949.84 / $7,943.28	Facility		$1,096.48	$1,949.84	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $870.96 / $2,137.96	Professional		$707.95	$870.96	$2,137.96
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 $812.83 / $1,380.38 / $2,137.96	Professional		$812.83	$1,380.38	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $1,862.09	Professional		$1,174.90	$1,548.82	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,148.15 / $1,862.09	Facility		$758.58	$1,148.15	$1,862.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $1,905.46	Professional		$1,174.90	$1,380.38	$1,905.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,479.11 / $1,584.89	Facility		$1,202.26	$1,479.11	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,148.15 / $1,659.59	Facility		$776.25	$1,148.15	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,479.11 / $2,089.30	Professional		$79.43	$1,479.11	$2,089.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $16,595.87 / $26,915.35	Facility		$6,918.31	$16,595.87	$26,915.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,584.89 / $2,238.72	Professional		$1,380.38	$1,584.89	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $31,622.78	Facility		$3,019.95	$20,892.96	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $2,089.30	Professional		$1,023.29	$1,513.56	$2,089.30