Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $7,943.28	Facility		$1,412.54	$1,862.09	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $1,819.70	Professional		$630.96	$794.33	$1,819.70
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 $758.58 / $1,288.25 / $1,995.26	Professional		$758.58	$1,288.25	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $1,737.80	Professional		$1,096.48	$1,445.44	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,122.02 / $1,737.80	Facility		$707.95	$1,122.02	$1,737.80
Moda Health 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
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $1,445.44	Facility		$1,148.15	$1,380.38	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,096.48 / $1,548.82	Facility		$724.44	$1,096.48	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,348.96 / $1,949.84	Professional		$79.43	$1,348.96	$1,949.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $2,137.96	Professional		$1,230.27	$1,479.11	$2,137.96
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 $933.25 / $1,380.38 / $1,949.84	Professional		$933.25	$1,380.38	$1,949.84