Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,454.71 / $7,943.28	Facility		$1,380.38	$2,454.71	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $2,691.53	Professional		$891.25	$1,096.48	$2,691.53
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 $1,000.00 / $1,737.80 / $2,691.53	Professional		$1,000.00	$1,737.80	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $2,344.23	Professional		$1,445.44	$1,949.84	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,479.11 / $2,344.23	Facility		$977.24	$1,479.11	$2,344.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $2,511.89	Professional		$1,479.11	$1,737.80	$2,511.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $1,995.26	Facility		$1,513.56	$1,862.09	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,513.56 / $2,137.96	Facility		$977.24	$1,513.56	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,819.70 / $2,630.27	Professional		$79.43	$1,819.70	$2,630.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $28,183.83	Facility		$16,982.44	$22,387.21	$28,183.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,995.26 / $2,818.38	Professional		$1,737.80	$1,995.26	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $31,622.78	Facility		$3,019.95	$20,892.96	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,905.46 / $2,630.27	Professional		$1,288.25	$1,905.46	$2,630.27