Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $7,943.28 / $21,877.62	Facility		$1,548.82	$7,943.28	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $2,187.76	Professional		$707.95	$1,000.00	$2,187.76
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 $812.83 / $1,380.38 / $2,137.96	Professional		$812.83	$1,380.38	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $1,862.09	Professional		$1,148.15	$1,513.56	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,258.93 / $2,089.30	Facility		$776.25	$1,258.93	$2,089.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $1,995.26	Professional		$1,148.15	$1,380.38	$1,995.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $1,548.82	Facility		$1,230.27	$1,479.11	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,230.27 / $1,778.28	Facility		$776.25	$1,230.27	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,445.44 / $2,089.30	Professional		$79.43	$1,445.44	$2,089.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,584.89 / $2,290.87	Professional		$1,380.38	$1,584.89	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $31,622.78	Facility		$2,884.03	$17,782.79	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $2,089.30	Professional		$1,023.29	$1,479.11	$2,089.30