Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $15,848.93	Facility		$1,348.96	$1,737.80	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $2,398.83	Professional		$616.60	$933.25	$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 $707.95 / $1,202.26 / $1,862.09	Professional		$707.95	$1,202.26	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,621.81	Professional		$1,023.29	$1,380.38	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,621.81	Facility		$676.08	$1,047.13	$1,621.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,737.80	Professional		$1,000.00	$1,174.90	$1,737.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $1,380.38	Facility		$1,096.48	$1,288.25	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,479.11	Facility		$676.08	$1,047.13	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,288.25 / $1,819.70	Professional		$79.43	$1,288.25	$1,819.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $22,387.21 / $27,542.29	Facility		$11,748.98	$22,387.21	$27,542.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,380.38 / $1,995.26	Professional		$1,202.26	$1,380.38	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $31,622.78	Facility		$2,137.96	$13,182.57	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,318.26 / $1,819.70	Professional		$891.25	$1,318.26	$1,819.70