Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $13,182.57	Facility		$1,071.52	$1,445.44	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $1,513.56	Professional		$489.78	$602.56	$1,513.56
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 $562.34 / $977.24 / $1,479.11	Professional		$562.34	$977.24	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,348.96	Professional		$851.14	$1,148.15	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $831.76 / $1,318.26	Facility		$524.81	$831.76	$1,318.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $1,412.54	Professional		$831.76	$977.24	$1,412.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,023.29 / $1,122.02	Facility		$831.76	$1,023.29	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $831.76 / $1,202.26	Facility		$537.03	$831.76	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,023.29 / $1,479.11	Professional		$79.43	$1,023.29	$1,479.11
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 $912.01 / $1,122.02 / $1,548.82	Professional		$912.01	$1,122.02	$1,548.82
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 $707.95 / $1,023.29 / $1,445.44	Professional		$707.95	$1,023.29	$1,445.44