Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $15,848.93	Facility		$1,318.26	$1,737.80	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,862.09	Professional		$602.56	$758.58	$1,862.09
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 $676.08 / $1,202.26 / $1,819.70	Professional		$676.08	$1,202.26	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $1,621.81	Professional		$1,000.00	$1,348.96	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,023.29 / $1,621.81	Facility		$645.65	$1,023.29	$1,621.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $1,737.80	Professional		$1,000.00	$1,202.26	$1,737.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,348.96	Facility		$933.25	$1,258.93	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,000.00 / $1,445.44	Facility		$660.69	$1,000.00	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,258.93 / $1,778.28	Professional		$79.43	$1,258.93	$1,778.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $16,595.87 / $26,915.35	Facility		$6,918.31	$16,595.87	$26,915.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $1,949.84	Professional		$1,071.52	$1,380.38	$1,949.84
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 $851.14 / $1,258.93 / $1,819.70	Professional		$851.14	$1,258.93	$1,819.70