Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,698.24 / $7,943.28	Facility		$1,023.29	$1,698.24	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $741.31 / $1,778.28	Professional		$489.78	$741.31	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,096.48 / $1,862.09	Professional		$645.65	$1,096.48	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,737.80	Professional		$870.96	$1,202.26	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,000.00 / $1,659.59	Facility		$588.84	$1,000.00	$1,659.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $1,659.59	Professional		$812.83	$1,202.26	$1,659.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,445.44	Facility		$1,023.29	$1,380.38	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $954.99 / $1,548.82	Facility		$588.84	$954.99	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,174.90 / $1,778.28	Professional		$79.43	$1,174.90	$1,778.28
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 $891.25 / $1,318.26 / $1,778.28	Professional		$891.25	$1,318.26	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,148.15 / $1,778.28	Professional		$707.95	$1,148.15	$1,778.28