Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $13,182.57	Facility		$1,230.27	$1,621.81	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $1,737.80	Professional		$562.34	$691.83	$1,737.80
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 $616.60 / $1,096.48 / $1,698.24	Professional		$616.60	$1,096.48	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,513.56	Professional		$954.99	$1,258.93	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $912.01 / $1,513.56	Facility		$602.56	$912.01	$1,513.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,584.89	Professional		$891.25	$1,096.48	$1,584.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,258.93	Facility		$851.14	$1,174.90	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $912.01 / $1,348.96	Facility		$616.60	$912.01	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,148.15 / $1,659.59	Professional		$79.43	$1,148.15	$1,659.59
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 $1,000.00 / $1,258.93 / $1,778.28	Professional		$1,000.00	$1,258.93	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $31,622.78	Facility		$2,137.96	$13,182.57	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,174.90 / $1,659.59	Professional		$794.33	$1,174.90	$1,659.59