Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $13,803.84	Facility		$1,122.02	$1,479.11	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $1,548.82	Professional		$501.19	$588.84	$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 $549.54 / $1,023.29 / $1,548.82	Professional		$549.54	$1,023.29	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,380.38	Professional		$891.25	$1,174.90	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $831.76 / $1,348.96	Facility		$537.03	$831.76	$1,348.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $1,445.44	Professional		$812.83	$977.24	$1,445.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,148.15	Facility		$776.25	$1,047.13	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $831.76 / $1,230.27	Facility		$537.03	$831.76	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,047.13 / $1,513.56	Professional		$79.43	$1,047.13	$1,513.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,011.87 / $6,165.95	Facility		$3,801.89	$5,011.87	$6,165.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $1,584.89	Professional		$933.25	$1,148.15	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,479.11	Professional		$724.44	$1,047.13	$1,479.11