Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,344.23 / $7,943.28	Facility		$1,288.25	$2,344.23	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $2,570.40	Professional		$707.95	$1,000.00	$2,570.40
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 $933.25 / $1,621.81 / $2,570.40	Professional		$933.25	$1,621.81	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $2,238.72	Professional		$1,380.38	$1,819.70	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,348.96 / $1,995.26	Facility		$891.25	$1,348.96	$1,995.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $2,398.83	Professional		$1,288.25	$1,584.89	$2,398.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $1,905.46	Facility		$1,288.25	$1,548.82	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,318.26 / $1,949.84	Facility		$912.01	$1,318.26	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,737.80 / $2,454.71	Professional		$79.43	$1,737.80	$2,454.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $33,113.11 / $52,480.75	Facility		$13,489.63	$33,113.11	$52,480.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $2,630.27	Professional		$1,412.54	$1,905.46	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $56,234.13	Facility		$3,019.95	$20,892.96	$56,234.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $2,511.89	Professional		$1,096.48	$1,698.24	$2,511.89