Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,445.44 / $13,803.84	Facility		$870.96	$1,445.44	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $2,344.23	Professional		$436.52	$660.69	$2,344.23
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 $549.54 / $954.99 / $1,548.82	Professional		$549.54	$954.99	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,479.11	Professional		$794.33	$1,071.52	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $870.96 / $1,380.38	Facility		$512.86	$870.96	$1,380.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,412.54	Professional		$707.95	$1,000.00	$1,412.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,202.26	Facility		$851.14	$1,148.15	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $851.14 / $1,258.93	Facility		$524.81	$851.14	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,000.00 / $1,479.11	Professional		$79.43	$1,000.00	$1,479.11
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 $812.83 / $1,122.02 / $1,513.56	Professional		$812.83	$1,122.02	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,125.38	Facility		$1,995.26	$10,000.00	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $977.24 / $1,479.11	Professional		$630.96	$977.24	$1,479.11