Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $13,182.57	Facility		$1,584.89	$2,089.30	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $851.14 / $1,995.26	Professional		$707.95	$851.14	$1,995.26
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 $812.83 / $1,412.54 / $2,187.76	Professional		$812.83	$1,412.54	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $1,905.46	Professional		$1,202.26	$1,621.81	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,122.02 / $1,949.84	Facility		$741.31	$1,122.02	$1,949.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,445.44 / $2,041.74	Professional		$912.01	$1,445.44	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,548.82 / $1,621.81	Facility		$1,047.13	$1,548.82	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,122.02 / $1,698.24	Facility		$758.58	$1,122.02	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,513.56 / $2,187.76	Professional		$79.43	$1,513.56	$2,187.76
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 $1,096.48 / $1,621.81 / $2,398.83	Professional		$1,096.48	$1,621.81	$2,398.83
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 $1,023.29 / $1,548.82 / $2,187.76	Professional		$1,023.29	$1,548.82	$2,187.76