Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $13,182.57	Facility		$1,737.80	$2,238.72	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $912.01 / $2,398.83	Professional		$758.58	$912.01	$2,398.83
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 $912.01 / $1,548.82 / $2,344.23	Professional		$912.01	$1,548.82	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $2,137.96	Professional		$1,380.38	$1,819.70	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,380.38 / $2,041.74	Facility		$870.96	$1,380.38	$2,041.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $2,238.72	Professional		$1,258.93	$1,479.11	$2,238.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $1,737.80	Facility		$1,202.26	$1,584.89	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,348.96 / $1,905.46	Facility		$870.96	$1,348.96	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,584.89 / $2,344.23	Professional		$79.43	$1,584.89	$2,344.23
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 $1,445.44 / $1,778.28 / $2,454.71	Professional		$1,445.44	$1,778.28	$2,454.71
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 $1,096.48 / $1,584.89 / $2,290.87	Professional		$1,096.48	$1,584.89	$2,290.87