Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.93 / $2,747.00 / $7,920.26	Facility		$1,400.93	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.37 / $988.68 / $2,238.36	Professional		$655.37	$988.68	$2,238.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $877.07 / $1,384.66 / $2,076.26	Professional		$877.07	$1,384.66	$2,076.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,320.33 / $1,546.53 / $1,855.39	Professional		$1,320.33	$1,546.53	$1,855.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $939.25 / $1,366.86 / $1,765.41	Facility		$939.25	$1,366.86	$1,765.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,079.38 / $1,254.73 / $1,882.09	Professional		$1,079.38	$1,254.73	$1,882.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $937.60 / $1,311.43 / $1,432.46	Facility		$937.60	$1,311.43	$1,432.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $1,384.83 / $1,817.46	Facility		$936.00	$1,384.83	$1,817.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,201.26 / $1,425.51 / $1,957.03	Professional		$1,201.26	$1,425.51	$1,957.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,472.14 / $39,875.19 / $51,188.76	Facility		$18,472.14	$39,875.19	$51,188.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,302.63 / $1,668.71 / $2,242.76	Professional		$1,302.63	$1,668.71	$2,242.76
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.17 / $1,430.71 / $2,183.75	Professional		$1,028.17	$1,430.71	$2,183.75