Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $4,073.80 / $14,454.40	Facility		$1,174.90	$4,073.80	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $758.58 / $3,388.44	Professional		$275.42	$758.58	$3,388.44
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 $630.96 / $1,096.48 / $1,659.59	Professional		$630.96	$1,096.48	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,445.44	Professional		$912.01	$1,202.26	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,096.48 / $5,623.41	Facility		$616.60	$1,096.48	$5,623.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,584.89	Professional		$831.76	$1,096.48	$1,584.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,202.26	Facility		$1,000.00	$1,174.90	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $954.99 / $1,479.11	Facility		$602.56	$954.99	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,148.15 / $1,621.81	Professional		$79.43	$1,148.15	$1,621.81
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 $1,071.52 / $1,230.27 / $1,778.28	Professional		$1,071.52	$1,230.27	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $17,378.01 / $26,302.68	Facility		$3,019.95	$17,378.01	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $1,698.24	Professional		$794.33	$1,202.26	$1,698.24