Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $13,803.84	Facility		$1,698.24	$2,187.76	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $2,398.83	Professional		$758.58	$891.25	$2,398.83
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 $891.25 / $1,513.56 / $2,290.87	Professional		$891.25	$1,513.56	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $2,089.30	Professional		$1,348.96	$1,737.80	$2,089.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,318.26 / $2,041.74	Facility		$851.14	$1,318.26	$2,041.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $2,187.76	Professional		$1,230.27	$1,479.11	$2,187.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $1,698.24	Facility		$1,230.27	$1,548.82	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,318.26 / $1,862.09	Facility		$851.14	$1,318.26	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,548.82 / $2,238.72	Professional		$79.43	$1,548.82	$2,238.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $22,387.21 / $27,542.29	Facility		$11,748.98	$22,387.21	$27,542.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,737.80 / $2,344.23	Professional		$1,445.44	$1,737.80	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $31,622.78	Facility		$2,137.96	$13,182.57	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,584.89 / $2,187.76	Professional		$1,071.52	$1,584.89	$2,187.76