Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $13,182.57	Facility		$1,479.11	$1,905.46	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $2,041.74	Professional		$676.08	$831.76	$2,041.74
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 $776.25 / $1,348.96 / $2,041.74	Professional		$776.25	$1,348.96	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $1,778.28	Professional		$1,122.02	$1,513.56	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,258.93 / $1,995.26	Facility		$741.31	$1,258.93	$1,995.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $1,905.46	Professional		$1,148.15	$1,380.38	$1,905.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $1,513.56	Facility		$1,202.26	$1,412.54	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,230.27 / $1,778.28	Facility		$758.58	$1,230.27	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,412.54 / $1,995.26	Professional		$79.43	$1,412.54	$1,995.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $42,657.95 / $53,703.18	Facility		$33,884.42	$42,657.95	$53,703.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,513.56 / $2,187.76	Professional		$1,318.26	$1,513.56	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $56,234.13	Facility		$2,884.03	$17,782.79	$56,234.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,445.44 / $1,995.26	Professional		$1,000.00	$1,445.44	$1,995.26