Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $13,182.57	Facility		$1,513.56	$1,949.84	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $2,089.30	Professional		$691.83	$831.76	$2,089.30
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 / $1,380.38 / $2,041.74	Professional		$794.33	$1,380.38	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $1,819.70	Professional		$1,122.02	$1,479.11	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,230.27 / $1,995.26	Facility		$758.58	$1,230.27	$1,995.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $1,949.84	Professional		$1,148.15	$1,380.38	$1,949.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $1,548.82	Facility		$1,202.26	$1,445.44	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,230.27 / $1,819.70	Facility		$758.58	$1,230.27	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,445.44 / $2,041.74	Professional		$79.43	$1,445.44	$2,041.74
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 $1,348.96 / $1,548.82 / $2,187.76	Professional		$1,348.96	$1,548.82	$2,187.76
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 $1,000.00 / $1,445.44 / $2,041.74	Professional		$1,000.00	$1,445.44	$2,041.74