Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $13,182.57	Facility		$1,258.93	$1,621.81	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $676.08 / $1,445.44	Professional		$575.44	$676.08	$1,445.44
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 $660.69 / $1,122.02 / $1,698.24	Professional		$660.69	$1,122.02	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $1,513.56	Professional		$954.99	$1,288.25	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $977.24 / $1,513.56	Facility		$616.60	$977.24	$1,513.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,621.81	Professional		$933.25	$1,122.02	$1,621.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,288.25	Facility		$977.24	$1,202.26	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $954.99 / $1,348.96	Facility		$630.96	$954.99	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,174.90 / $1,698.24	Professional		$79.43	$1,174.90	$1,698.24
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 $1,096.48 / $1,288.25 / $1,862.09	Professional		$1,096.48	$1,288.25	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $17,378.01 / $26,302.68	Facility		$3,019.95	$17,378.01	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $1,698.24	Professional		$812.83	$1,202.26	$1,698.24