Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $15,848.93	Facility		$1,819.70	$2,398.83	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $2,570.40	Professional		$831.76	$1,047.13	$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 $933.25 / $1,659.59 / $2,511.89	Professional		$933.25	$1,659.59	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $2,238.72	Professional		$1,380.38	$1,862.09	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,412.54 / $2,290.87	Facility		$912.01	$1,412.54	$2,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $2,398.83	Professional		$1,380.38	$1,659.59	$2,398.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $1,862.09	Facility		$1,318.26	$1,737.80	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,380.38 / $1,995.26	Facility		$912.01	$1,380.38	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,737.80 / $2,454.71	Professional		$79.43	$1,737.80	$2,454.71
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 $1,659.59 / $1,905.46 / $2,570.40	Professional		$1,659.59	$1,905.46	$2,570.40
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 $1,174.90 / $1,737.80 / $2,511.89	Professional		$1,174.90	$1,737.80	$2,511.89