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 $575.44 / $758.58 / $1,584.89	Professional		$575.44	$758.58	$1,584.89
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 $660.69 / $1,174.90 / $1,778.28	Professional		$660.69	$1,174.90	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,513.56	Professional		$977.24	$1,288.25	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,000.00 / $1,584.89	Facility		$616.60	$1,000.00	$1,584.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $1,584.89	Professional		$1,000.00	$1,202.26	$1,584.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $1,258.93	Facility		$1,000.00	$1,230.27	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $977.24 / $1,479.11	Facility		$630.96	$977.24	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,174.90 / $1,659.59	Professional		$79.43	$1,174.90	$1,659.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $22,387.21 / $27,542.29	Facility		$11,748.98	$22,387.21	$27,542.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $1,862.09	Professional		$1,071.52	$1,288.25	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $31,622.78	Facility		$1,995.26	$10,232.93	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $1,698.24	Professional		$812.83	$1,230.27	$1,698.24