Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $13,182.57	Facility		$1,513.56	$1,995.26	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,698.24	Professional		$691.83	$870.96	$1,698.24
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 $776.25 / $1,348.96 / $2,041.74	Professional		$776.25	$1,348.96	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $1,819.70	Professional		$1,148.15	$1,548.82	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,148.15 / $1,905.46	Facility		$741.31	$1,148.15	$1,905.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $1,949.84	Professional		$1,122.02	$1,348.96	$1,949.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $1,548.82	Facility		$1,148.15	$1,445.44	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,148.15 / $1,737.80	Facility		$758.58	$1,148.15	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,412.54 / $2,041.74	Professional		$79.43	$1,412.54	$2,041.74
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 $1,348.96 / $1,548.82 / $2,238.72	Professional		$1,348.96	$1,548.82	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $31,622.78	Facility		$3,019.95	$20,892.96	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,445.44 / $2,041.74	Professional		$1,000.00	$1,445.44	$2,041.74