Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $7,943.28	Facility		$1,047.13	$1,380.38	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $1,479.11	Professional		$478.63	$575.44	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $954.99 / $1,445.44	Professional		$575.44	$954.99	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,288.25	Professional		$831.76	$1,096.48	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $912.01 / $1,479.11	Facility		$524.81	$912.01	$1,479.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $1,348.96	Professional		$812.83	$977.24	$1,348.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,071.52	Facility		$851.14	$1,000.00	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $912.01 / $1,288.25	Facility		$537.03	$912.01	$1,288.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,000.00 / $1,412.54	Professional		$79.43	$1,000.00	$1,412.54
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 $933.25 / $1,096.48 / $1,513.56	Professional		$933.25	$1,096.48	$1,513.56
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 $691.83 / $1,000.00 / $1,412.54	Professional		$691.83	$1,000.00	$1,412.54