Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $13,182.57	Facility		$1,445.44	$1,862.09	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $1,995.26	Professional		$645.65	$794.33	$1,995.26
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 $758.58 / $1,318.26 / $1,995.26	Professional		$758.58	$1,318.26	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $1,737.80	Professional		$1,096.48	$1,479.11	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,174.90 / $1,905.46	Facility		$724.44	$1,174.90	$1,905.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $1,949.84	Professional		$1,047.13	$1,348.96	$1,949.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $1,479.11	Facility		$1,174.90	$1,380.38	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,174.90 / $1,737.80	Facility		$724.44	$1,174.90	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,348.96 / $1,949.84	Professional		$79.43	$1,348.96	$1,949.84
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 $1,258.93 / $1,479.11 / $2,137.96	Professional		$1,258.93	$1,479.11	$2,137.96
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 $954.99 / $1,380.38 / $1,949.84	Professional		$954.99	$1,380.38	$1,949.84