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 / $15,848.93	Facility		$1,548.82	$2,041.74	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,995.26	Professional		$707.95	$891.25	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
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 $1,202.26 / $1,584.89 / $1,905.46	Professional		$1,202.26	$1,584.89	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,202.26 / $1,949.84	Facility		$776.25	$1,202.26	$1,949.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $2,041.74	Professional		$1,174.90	$1,412.54	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $1,584.89	Facility		$1,258.93	$1,513.56	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,202.26 / $1,737.80	Facility		$776.25	$1,202.26	$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 $1,412.54 / $1,621.81 / $2,344.23	Professional		$1,412.54	$1,621.81	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $16,218.10 / $23,988.33	Facility		$2,884.03	$16,218.10	$23,988.33
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