Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $5,623.41 / $8,128.31	Facility		$1,778.28	$5,623.41	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $933.25 / $2,238.72	Professional		$812.83	$933.25	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,584.89 / $2,454.71	Professional		$912.01	$1,584.89	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $2,137.96	Professional		$1,348.96	$1,778.28	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,412.54 / $2,454.71	Facility		$891.25	$1,412.54	$2,454.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $2,290.87	Professional		$1,348.96	$1,584.89	$2,290.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $1,819.70	Facility		$1,445.44	$1,698.24	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,380.38 / $1,949.84	Facility		$891.25	$1,380.38	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,698.24 / $2,398.83	Professional		$79.43	$1,698.24	$2,398.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,819.70 / $2,630.27	Professional		$1,584.89	$1,819.70	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $31,622.78	Facility		$3,019.95	$20,892.96	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,737.80 / $2,454.71	Professional		$1,174.90	$1,737.80	$2,454.71