Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $13,182.57	Facility		$1,548.82	$2,041.74	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $870.96 / $2,041.74	Professional		$707.95	$870.96	$2,041.74
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 $794.33 / $1,412.54 / $2,137.96	Professional		$794.33	$1,412.54	$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 $741.31 / $1,174.90 / $1,949.84	Facility		$741.31	$1,174.90	$1,949.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $1,995.26	Professional		$1,174.90	$1,380.38	$1,995.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $1,584.89	Facility		$1,230.27	$1,479.11	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,174.90 / $1,737.80	Facility		$758.58	$1,174.90	$1,737.80
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 $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 $1,380.38 / $1,621.81 / $2,290.87	Professional		$1,380.38	$1,621.81	$2,290.87
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 $1,023.29 / $1,513.56 / $2,137.96	Professional		$1,023.29	$1,513.56	$2,137.96