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 / $13,803.84	Facility		$1,737.80	$2,238.72	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $2,398.83	Professional		$794.33	$977.24	$2,398.83
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 $912.01 / $1,548.82 / $2,398.83	Professional		$912.01	$1,548.82	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $2,089.30	Professional		$1,318.26	$1,737.80	$2,089.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,348.96 / $2,137.96	Facility		$870.96	$1,348.96	$2,137.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $2,238.72	Professional		$1,318.26	$1,584.89	$2,238.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $1,778.28	Facility		$1,288.25	$1,659.59	$1,778.28
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 / $1,659.59 / $2,344.23	Professional		$79.43	$1,659.59	$2,344.23
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 $1,548.82 / $1,778.28 / $2,570.40	Professional		$1,548.82	$1,778.28	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $16,218.10 / $23,988.33	Facility		$2,884.03	$16,218.10	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $2,344.23	Professional		$1,148.15	$1,698.24	$2,344.23