Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $7,943.28	Facility		$1,047.13	$1,380.38	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $1,479.11	Professional		$489.78	$602.56	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,023.29 / $1,479.11	Professional		$602.56	$1,023.29	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,288.25	Professional		$812.83	$1,071.52	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $954.99 / $1,584.89	Facility		$524.81	$954.99	$1,584.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,584.89	Professional		$812.83	$1,000.00	$1,584.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,071.52	Facility		$891.25	$1,047.13	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $954.99 / $1,513.56	Facility		$537.03	$954.99	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,023.29 / $1,445.44	Professional		$79.43	$1,023.29	$1,445.44
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 $954.99 / $1,122.02 / $1,584.89	Professional		$954.99	$1,122.02	$1,584.89
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 $741.31 / $1,023.29 / $1,445.44	Professional		$741.31	$1,023.29	$1,445.44