Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $15,848.93	Facility		$1,698.24	$2,238.72	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $2,398.83	Professional		$758.58	$954.99	$2,398.83
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 $912.01 / $1,548.82 / $2,344.23	Professional		$912.01	$1,548.82	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,089.30	Professional		$1,288.25	$1,737.80	$2,089.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,318.26 / $2,089.30	Facility		$851.14	$1,318.26	$2,089.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $2,238.72	Professional		$1,288.25	$1,513.56	$2,238.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $1,737.80	Facility		$1,258.93	$1,584.89	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,288.25 / $1,862.09	Facility		$851.14	$1,288.25	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,621.81 / $2,290.87	Professional		$79.43	$1,621.81	$2,290.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $33,113.11 / $52,480.75	Facility		$13,489.63	$33,113.11	$52,480.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $2,398.83	Professional		$1,479.11	$1,778.28	$2,398.83
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 $1,122.02 / $1,621.81 / $2,344.23	Professional		$1,122.02	$1,621.81	$2,344.23