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 / $794.33 / $1,862.09	Professional		$676.08	$794.33	$1,862.09
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 / $1,318.26 / $2,041.74	Professional		$776.25	$1,318.26	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $1,778.28	Professional		$1,122.02	$1,479.11	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,148.15 / $1,819.70	Facility		$724.44	$1,148.15	$1,819.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,905.46	Professional		$1,122.02	$1,318.26	$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 $741.31 / $1,148.15 / $1,621.81	Facility		$741.31	$1,148.15	$1,621.81
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 $8,912.51 / $22,387.21 / $27,542.29	Facility		$8,912.51	$22,387.21	$27,542.29
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 $1,995.26 / $10,232.93 / $31,622.78	Facility		$1,995.26	$10,232.93	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $1,995.26	Professional		$977.24	$1,412.54	$1,995.26