Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $21,877.62	Facility		$1,412.54	$1,819.70	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $1,949.84	Professional		$645.65	$794.33	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $5,011.87	Facility		$3,235.94	$3,235.94	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,258.93 / $1,905.46	Professional		$549.54	$1,258.93	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $1,698.24	Professional		$977.24	$1,348.96	$1,698.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,023.29 / $1,737.80	Facility		$691.83	$1,023.29	$1,737.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $1,737.80	Professional		$1,047.13	$1,258.93	$1,737.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $1,412.54	Facility		$1,047.13	$1,380.38	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,047.13 / $1,698.24	Facility		$660.69	$1,047.13	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,380.38 / $1,905.46	Professional		$79.43	$1,380.38	$1,905.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $22,387.21	Facility		$13,803.84	$18,620.87	$22,387.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,479.11 / $1,905.46	Professional		$1,288.25	$1,479.11	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $16,218.10 / $23,988.33	Facility		$2,238.72	$16,218.10	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,380.38 / $1,995.26	Professional		$831.76	$1,380.38	$1,995.26