Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $13,182.57	Facility		$1,412.54	$1,819.70	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $741.31 / $1,949.84	Professional		$616.60	$741.31	$1,949.84
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 $724.44 / $1,258.93 / $1,949.84	Professional		$724.44	$1,258.93	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $1,698.24	Professional		$1,071.52	$1,445.44	$1,698.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,698.24	Facility		$691.83	$1,071.52	$1,698.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $1,819.70	Professional		$1,071.52	$1,258.93	$1,819.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $1,445.44	Facility		$1,071.52	$1,318.26	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,548.82	Facility		$707.95	$1,047.13	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,318.26 / $1,905.46	Professional		$79.43	$1,318.26	$1,905.46
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 / $1,445.44 / $2,041.74	Professional		$1,202.26	$1,445.44	$2,041.74
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 $870.96 / $1,348.96 / $1,905.46	Professional		$870.96	$1,348.96	$1,905.46