Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $15,848.93	Facility		$1,659.59	$2,137.96	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $2,290.87	Professional		$758.58	$933.25	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,479.11 / $2,290.87	Professional		$851.14	$1,479.11	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $1,995.26	Professional		$1,230.27	$1,659.59	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,230.27 / $1,995.26	Facility		$812.83	$1,230.27	$1,995.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $2,137.96	Professional		$1,230.27	$1,479.11	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $1,659.59	Facility		$1,288.25	$1,584.89	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,230.27 / $1,905.46	Facility		$831.76	$1,230.27	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,548.82 / $2,187.76	Professional		$79.43	$1,548.82	$2,187.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $44,668.36 / $53,703.18	Facility		$33,884.42	$44,668.36	$53,703.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $2,454.71	Professional		$1,445.44	$1,698.24	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $56,234.13	Facility		$2,884.03	$17,782.79	$56,234.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,584.89 / $2,238.72	Professional		$1,071.52	$1,584.89	$2,238.72