Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,754.23 / $13,182.57	Facility		$2,137.96	$2,754.23	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $2,951.21	Professional		$933.25	$1,202.26	$2,951.21
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 $1,047.13 / $1,862.09 / $2,951.21	Professional		$1,047.13	$1,862.09	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $2,570.40	Professional		$1,584.89	$2,137.96	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,479.11 / $2,630.27	Facility		$891.25	$1,479.11	$2,630.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,905.46 / $2,754.23	Professional		$954.99	$1,905.46	$2,754.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $2,137.96	Facility		$1,380.38	$2,089.30	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,479.11 / $2,290.87	Facility		$812.83	$1,479.11	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,041.74 / $2,818.38	Professional		$79.43	$2,041.74	$2,818.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $10,232.93 / $12,302.69	Facility		$6,309.57	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,187.76 / $3,162.28	Professional		$1,445.44	$2,187.76	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $14,125.38	Facility		$1,698.24	$5,754.40	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,041.74 / $2,884.03	Professional		$1,348.96	$2,041.74	$2,884.03