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 / $13,182.57	Facility		$1,698.24	$2,187.76	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $2,344.23	Professional		$741.31	$891.25	$2,344.23
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 $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 / $1,778.28 / $2,089.30	Professional		$1,348.96	$1,778.28	$2,089.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,348.96 / $1,949.84	Facility		$851.14	$1,348.96	$1,949.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $2,187.76	Professional		$1,230.27	$1,445.44	$2,187.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $1,698.24	Facility		$1,202.26	$1,513.56	$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 / $2,290.87	Professional		$79.43	$1,548.82	$2,290.87
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 $1,380.38 / $1,737.80 / $2,398.83	Professional		$1,380.38	$1,737.80	$2,398.83
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 $1,047.13 / $1,548.82 / $2,238.72	Professional		$1,047.13	$1,548.82	$2,238.72