Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,298.88 / $2,747.00 / $7,920.26	Facility		$1,298.88	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.70 / $909.15 / $1,759.59	Professional		$580.70	$909.15	$1,759.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $804.94 / $1,249.03 / $1,817.15	Professional		$804.94	$1,249.03	$1,817.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,013.84 / $1,207.33 / $1,424.70	Professional		$1,013.84	$1,207.33	$1,424.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $909.15 / $1,224.20 / $1,667.70	Facility		$909.15	$1,224.20	$1,667.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $945.27 / $1,152.46 / $1,601.40	Professional		$945.27	$1,152.46	$1,601.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $941.60 / $1,132.58 / $1,331.29	Facility		$941.60	$1,132.58	$1,331.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $884.52 / $1,245.54 / $1,667.70	Facility		$884.52	$1,245.54	$1,667.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,125.89 / $1,309.68 / $1,782.25	Professional		$1,125.89	$1,309.68	$1,782.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,472.14 / $39,875.19 / $51,188.76	Facility		$18,472.14	$39,875.19	$51,188.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,178.40 / $1,406.41 / $1,817.31	Professional		$1,178.40	$1,406.41	$1,817.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $928.55 / $1,346.41 / $2,019.47	Professional		$928.55	$1,346.41	$2,019.47