Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,511.89 / $13,182.57	Facility		$2,041.74	$2,511.89	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $2,691.53	Professional		$933.25	$1,148.15	$2,691.53
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 $1,023.29 / $1,778.28 / $2,754.23	Professional		$1,023.29	$1,778.28	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $2,344.23	Professional		$1,445.44	$1,949.84	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,445.44 / $2,511.89	Facility		$954.99	$1,445.44	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $2,511.89	Professional		$1,380.38	$1,819.70	$2,511.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $1,995.26	Facility		$1,445.44	$1,949.84	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,445.44 / $2,290.87	Facility		$977.24	$1,445.44	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,905.46 / $2,691.53	Professional		$79.43	$1,905.46	$2,691.53
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 $1,513.56 / $2,041.74 / $2,951.21	Professional		$1,513.56	$2,041.74	$2,951.21
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 $1,288.25 / $1,949.84 / $2,754.23	Professional		$1,288.25	$1,949.84	$2,754.23