Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $7,943.28 / $13,182.57	Facility		$1,737.80	$7,943.28	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $2,187.76	Professional		$794.33	$977.24	$2,187.76
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 $891.25 / $1,584.89 / $2,398.83	Professional		$891.25	$1,584.89	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $2,137.96	Professional		$1,318.26	$1,778.28	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,318.26 / $3,090.30	Facility		$851.14	$1,318.26	$3,090.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,621.81 / $2,344.23	Professional		$1,348.96	$1,621.81	$2,344.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $1,778.28	Facility		$1,445.44	$1,698.24	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,380.38 / $2,089.30	Facility		$870.96	$1,380.38	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,659.59 / $2,344.23	Professional		$79.43	$1,659.59	$2,344.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $42,657.95 / $53,703.18	Facility		$33,884.42	$42,657.95	$53,703.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $2,570.40	Professional		$1,548.82	$1,819.70	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $56,234.13	Facility		$3,019.95	$20,892.96	$56,234.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $2,398.83	Professional		$1,122.02	$1,698.24	$2,398.83