Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $13,803.84	Facility		$1,513.56	$1,995.26	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $794.33 / $1,862.09	Professional		$660.69	$794.33	$1,862.09
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 $794.33 / $1,348.96 / $2,041.74	Professional		$794.33	$1,348.96	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $1,905.46	Professional		$1,230.27	$1,584.89	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,202.26 / $1,778.28	Facility		$758.58	$1,202.26	$1,778.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $1,995.26	Professional		$1,096.48	$1,318.26	$1,995.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $1,548.82	Facility		$1,000.00	$1,348.96	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,174.90 / $1,659.59	Facility		$758.58	$1,174.90	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,380.38 / $2,041.74	Professional		$79.43	$1,380.38	$2,041.74
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 $1,258.93 / $1,548.82 / $2,137.96	Professional		$1,258.93	$1,548.82	$2,137.96
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 $933.25 / $1,380.38 / $1,995.26	Professional		$933.25	$1,380.38	$1,995.26