Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $15,848.93	Facility		$1,737.80	$2,238.72	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $2,398.83	Professional		$794.33	$977.24	$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 / $1,584.89 / $2,398.83	Professional		$912.01	$1,584.89	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,089.30	Professional		$1,288.25	$1,698.24	$2,089.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,479.11 / $2,290.87	Facility		$870.96	$1,479.11	$2,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,621.81 / $2,238.72	Professional		$1,348.96	$1,621.81	$2,238.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $1,778.28	Facility		$1,318.26	$1,659.59	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,445.44 / $2,089.30	Facility		$870.96	$1,445.44	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,659.59 / $2,344.23	Professional		$79.43	$1,659.59	$2,344.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $16,595.87 / $26,915.35	Facility		$6,918.31	$16,595.87	$26,915.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $2,570.40	Professional		$1,548.82	$1,819.70	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $31,622.78	Facility		$2,884.03	$17,782.79	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $2,398.83	Professional		$1,148.15	$1,698.24	$2,398.83