Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,454.36 / $2,747.00 / $7,920.26	Facility		$1,454.36	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $635.74 / $967.65 / $2,331.96	Professional		$635.74	$967.65	$2,331.96
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 $823.65 / $1,388.93 / $2,060.82	Professional		$823.65	$1,388.93	$2,060.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,376.79 / $1,613.66 / $1,935.93	Professional		$1,376.79	$1,613.66	$1,935.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $963.00 / $1,284.48 / $1,687.25	Facility		$963.00	$1,284.48	$1,687.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,108.20 / $1,264.58 / $1,951.07	Professional		$1,108.20	$1,264.58	$1,951.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $967.55 / $1,337.99 / $1,488.07	Facility		$967.55	$1,337.99	$1,488.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $924.87 / $1,333.62 / $1,895.54	Facility		$924.87	$1,333.62	$1,895.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,215.83 / $1,477.64 / $2,032.28	Professional		$1,215.83	$1,477.64	$2,032.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $20,285.91 / $26,041.52	Facility		$9,397.43	$20,285.91	$26,041.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,311.97 / $1,733.49 / $2,329.83	Professional		$1,311.97	$1,733.49	$2,329.83
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 $977.19 / $1,441.29 / $2,220.41	Professional		$977.19	$1,441.29	$2,220.41