Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $13,182.57	Facility		$1,479.11	$1,862.09	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,995.26	Professional		$676.08	$831.76	$1,995.26
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 $758.58 / $1,288.25 / $2,041.74	Professional		$758.58	$1,288.25	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $1,737.80	Professional		$1,071.52	$1,412.54	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,071.52 / $1,862.09	Facility		$676.08	$1,071.52	$1,862.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $1,778.28	Professional		$1,096.48	$1,348.96	$1,778.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $1,479.11	Facility		$1,071.52	$1,445.44	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,023.29 / $1,621.81	Facility		$707.95	$1,023.29	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,380.38 / $1,905.46	Professional		$79.43	$1,380.38	$1,905.46
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 $1,047.13 / $1,479.11 / $2,187.76	Professional		$1,047.13	$1,479.11	$2,187.76
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 $851.14 / $1,412.54 / $1,949.84	Professional		$851.14	$1,412.54	$1,949.84