Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $5,370.32 / $18,620.87	Facility		$1,202.26	$5,370.32	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $912.01 / $3,311.31	Professional		$549.54	$912.01	$3,311.31
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 $741.31 / $1,380.38 / $2,754.23	Professional		$741.31	$1,380.38	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,584.89 / $2,570.40	Professional		$1,071.52	$1,584.89	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,230.27 / $3,311.31	Facility		$758.58	$1,230.27	$3,311.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $2,344.23	Professional		$954.99	$1,380.38	$2,344.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,995.26 / $2,041.74	Facility		$1,230.27	$1,995.26	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,148.15 / $2,041.74	Facility		$691.83	$1,148.15	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,412.54 / $2,570.40	Professional		$79.43	$1,412.54	$2,570.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $28,183.83	Facility		$16,982.44	$22,387.21	$28,183.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $2,570.40	Professional		$1,122.02	$1,548.82	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $56,234.13	Facility		$2,137.96	$13,182.57	$56,234.13
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,445.44 / $2,570.40	Professional		$870.96	$1,445.44	$2,570.40