Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $7,943.28 / $13,803.84	Facility		$1,348.96	$7,943.28	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $1,698.24	Professional		$588.84	$691.83	$1,698.24
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 $707.95 / $1,230.27 / $1,862.09	Professional		$707.95	$1,230.27	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $1,778.28	Professional		$1,148.15	$1,479.11	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,548.82	Facility		$676.08	$1,047.13	$1,548.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $1,737.80	Professional		$954.99	$1,174.90	$1,737.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,412.54	Facility		$891.25	$1,230.27	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,479.11	Facility		$676.08	$1,047.13	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,230.27 / $1,819.70	Professional		$79.43	$1,230.27	$1,819.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $1,905.46	Professional		$1,096.48	$1,412.54	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $31,622.78	Facility		$1,698.24	$5,754.40	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $1,778.28	Professional		$831.76	$1,202.26	$1,778.28