Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $13,182.57	Facility		$1,047.13	$1,348.96	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $1,318.26	Professional		$478.63	$676.08	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $977.24 / $1,479.11	Professional		$575.44	$977.24	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,230.27	Professional		$776.25	$1,023.29	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $776.25 / $1,621.81	Facility		$489.78	$776.25	$1,621.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,513.56	Professional		$831.76	$1,096.48	$1,513.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,318.26	Facility		$851.14	$1,023.29	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $912.01 / $1,513.56	Facility		$524.81	$912.01	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,000.00 / $1,412.54	Professional		$79.43	$1,000.00	$1,412.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $22,387.21 / $27,542.29	Facility		$11,748.98	$22,387.21	$27,542.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,096.48 / $1,548.82	Professional		$912.01	$1,096.48	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $31,622.78	Facility		$2,137.96	$13,182.57	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,513.56	Professional		$691.83	$1,071.52	$1,513.56