Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $8,912.51 / $13,803.84	Facility		$1,202.26	$8,912.51	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $645.65 / $1,548.82	Professional		$537.03	$645.65	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,096.48 / $1,659.59	Professional		$660.69	$1,096.48	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,479.11	Professional		$912.01	$1,230.27	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $954.99 / $1,621.81	Facility		$602.56	$954.99	$1,621.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,548.82	Professional		$891.25	$1,071.52	$1,548.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,230.27	Facility		$977.24	$1,148.15	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $933.25 / $1,318.26	Facility		$602.56	$933.25	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,122.02 / $1,621.81	Professional		$79.43	$1,122.02	$1,621.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,230.27 / $1,778.28	Professional		$1,071.52	$1,230.27	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,174.90 / $1,621.81	Professional		$794.33	$1,174.90	$1,621.81