Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $13,182.57	Facility		$1,905.46	$2,454.71	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $2,570.40	Professional		$831.76	$1,000.00	$2,570.40
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 $1,000.00 / $1,698.24 / $2,511.89	Professional		$1,000.00	$1,698.24	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $2,344.23	Professional		$1,513.56	$1,949.84	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,479.11 / $2,344.23	Facility		$933.25	$1,479.11	$2,344.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $2,454.71	Professional		$1,380.38	$1,621.81	$2,454.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $1,905.46	Facility		$1,380.38	$1,698.24	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,479.11 / $2,089.30	Facility		$933.25	$1,479.11	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,698.24 / $2,511.89	Professional		$79.43	$1,698.24	$2,511.89
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 $1,584.89 / $1,905.46 / $2,630.27	Professional		$1,584.89	$1,905.46	$2,630.27
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 $1,174.90 / $1,737.80 / $2,454.71	Professional		$1,174.90	$1,737.80	$2,454.71