Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $15,848.93	Facility		$1,096.48	$1,445.44	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $616.60 / $1,412.54	Professional		$478.63	$616.60	$1,412.54
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 $562.34 / $977.24 / $1,513.56	Professional		$562.34	$977.24	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,348.96	Professional		$870.96	$1,148.15	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $831.76 / $1,348.96	Facility		$537.03	$831.76	$1,348.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $1,479.11	Professional		$794.33	$977.24	$1,479.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,122.02	Facility		$776.25	$1,023.29	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $812.83 / $1,202.26	Facility		$537.03	$812.83	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,023.29 / $1,479.11	Professional		$79.43	$1,023.29	$1,479.11
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 $912.01 / $1,148.15 / $1,584.89	Professional		$912.01	$1,148.15	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,479.11	Professional		$707.95	$1,047.13	$1,479.11