Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,421.18 / $2,747.00 / $7,920.26	Facility		$1,421.18	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.40 / $897.31 / $2,278.32	Professional		$585.40	$897.31	$2,278.32
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 $804.22 / $1,356.66 / $2,013.50	Professional		$804.22	$1,356.66	$2,013.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,344.05 / $1,575.38 / $1,890.00	Professional		$1,344.05	$1,575.38	$1,890.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $897.31 / $1,246.88 / $1,598.58	Facility		$897.31	$1,246.88	$1,598.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,036.83 / $1,234.01 / $1,903.91	Professional		$1,036.83	$1,234.01	$1,903.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $872.34 / $1,278.35 / $1,453.90	Facility		$872.34	$1,278.35	$1,453.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $897.31 / $1,255.20 / $1,851.78	Facility		$897.31	$1,255.20	$1,851.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,152.35 / $1,443.42 / $1,985.36	Professional		$1,152.35	$1,443.42	$1,985.36
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 $1,281.83 / $1,693.69 / $2,276.33	Professional		$1,281.83	$1,693.69	$2,276.33
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 $946.27 / $1,325.94 / $2,166.51	Professional		$946.27	$1,325.94	$2,166.51