Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $21,877.62	Facility		$1,698.24	$2,187.76	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $954.99 / $2,511.89	Professional		$776.25	$954.99	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,513.56 / $2,344.23	Professional		$891.25	$1,513.56	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,041.74	Professional		$1,288.25	$1,698.24	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,380.38 / $2,137.96	Facility		$851.14	$1,380.38	$2,137.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $2,290.87	Professional		$1,288.25	$1,548.82	$2,290.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $1,737.80	Facility		$1,380.38	$1,621.81	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,348.96 / $1,862.09	Facility		$851.14	$1,348.96	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,621.81 / $2,290.87	Professional		$79.43	$1,621.81	$2,290.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $28,183.83	Facility		$16,982.44	$22,387.21	$28,183.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,737.80 / $2,511.89	Professional		$1,513.56	$1,737.80	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $31,622.78	Facility		$3,019.95	$20,892.96	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $2,290.87	Professional		$1,122.02	$1,659.59	$2,290.87