Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $7,943.28	Facility		$1,513.56	$1,995.26	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $851.14 / $2,089.30	Professional		$691.83	$851.14	$2,089.30
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 $758.58 / $1,380.38 / $2,089.30	Professional		$758.58	$1,380.38	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $1,862.09	Professional		$1,174.90	$1,548.82	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,122.02 / $1,862.09	Facility		$707.95	$1,122.02	$1,862.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $1,949.84	Professional		$1,071.52	$1,348.96	$1,949.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $1,548.82	Facility		$1,071.52	$1,445.44	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,096.48 / $1,621.81	Facility		$724.44	$1,096.48	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,445.44 / $2,041.74	Professional		$79.43	$1,445.44	$2,041.74
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 $1,258.93 / $1,548.82 / $2,238.72	Professional		$1,258.93	$1,548.82	$2,238.72
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 $977.24 / $1,445.44 / $2,041.74	Professional		$977.24	$1,445.44	$2,041.74