Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $7,943.28	Facility		$1,288.25	$2,137.96	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $2,137.96	Professional		$794.33	$977.24	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $5,011.87	Facility		$1,659.59	$1,659.59	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,513.56 / $2,290.87	Professional		$562.34	$1,513.56	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,041.74	Professional		$1,174.90	$1,621.81	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,258.93 / $2,089.30	Facility		$831.76	$1,258.93	$2,089.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $2,041.74	Professional		$1,258.93	$1,513.56	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $1,698.24	Facility		$1,258.93	$1,621.81	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,288.25 / $2,089.30	Facility		$794.33	$1,288.25	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,659.59 / $2,290.87	Professional		$79.43	$1,659.59	$2,290.87
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 $1,548.82 / $1,778.28 / $2,290.87	Professional		$1,548.82	$1,778.28	$2,290.87
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 $1,071.52 / $1,584.89 / $2,290.87	Professional		$1,071.52	$1,584.89	$2,290.87