Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $15,848.93	Facility		$1,230.27	$1,862.09	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $691.83 / $1,949.84	Professional		$549.54	$691.83	$1,949.84
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 $676.08 / $1,202.26 / $1,905.46	Professional		$676.08	$1,202.26	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $1,737.80	Professional		$1,096.48	$1,445.44	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,023.29 / $1,513.56	Facility		$645.65	$1,023.29	$1,513.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,778.28	Professional		$977.24	$1,148.15	$1,778.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,445.44	Facility		$977.24	$1,202.26	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,000.00 / $1,412.54	Facility		$645.65	$1,000.00	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,174.90 / $1,819.70	Professional		$79.43	$1,174.90	$1,819.70
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 $1,096.48 / $1,318.26 / $1,862.09	Professional		$1,096.48	$1,318.26	$1,862.09
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 $794.33 / $1,202.26 / $1,819.70	Professional		$794.33	$1,202.26	$1,819.70