Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $13,182.57	Facility		$1,380.38	$1,778.28	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,905.46	Professional		$630.96	$776.25	$1,905.46
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 $724.44 / $1,258.93 / $1,905.46	Professional		$724.44	$1,258.93	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $1,659.59	Professional		$1,047.13	$1,380.38	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,148.15 / $1,819.70	Facility		$691.83	$1,148.15	$1,819.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $1,778.28	Professional		$1,071.52	$1,258.93	$1,778.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,412.54	Facility		$1,122.02	$1,318.26	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,148.15 / $1,659.59	Facility		$691.83	$1,148.15	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,318.26 / $1,862.09	Professional		$79.43	$1,318.26	$1,862.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $22,387.21 / $27,542.29	Facility		$11,748.98	$22,387.21	$27,542.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,412.54 / $1,995.26	Professional		$1,230.27	$1,412.54	$1,995.26
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 $912.01 / $1,318.26 / $1,862.09	Professional		$912.01	$1,318.26	$1,862.09