Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,257.73 / $2,747.00 / $7,920.26	Facility		$1,257.73	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.77 / $868.80 / $2,393.96	Professional		$596.77	$868.80	$2,393.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $640.95 / $1,222.27 / $1,729.88	Professional		$640.95	$1,222.27	$1,729.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,026.77 / $1,348.24 / $1,664.44	Professional		$1,026.77	$1,348.24	$1,664.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $685.79 / $1,157.54 / $1,769.75	Facility		$685.79	$1,157.54	$1,769.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $963.39 / $1,116.61 / $1,890.99	Professional		$963.39	$1,116.61	$1,890.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $868.71 / $1,201.31 / $1,289.75	Facility		$868.71	$1,201.31	$1,289.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $749.93 / $1,307.59 / $1,769.75	Facility		$749.93	$1,307.59	$1,769.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,052.01 / $1,371.98 / $1,764.67	Professional		$1,052.01	$1,371.98	$1,764.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,219.00 / $3,219.00 / $3,219.00	Facility		$3,219.00	$3,219.00	$3,219.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,175.32 / $1,494.76 / $1,810.67	Professional		$1,175.32	$1,494.76	$1,810.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00
United Facility/Professional Professional Modifier Low / Median / High Price $902.35 / $1,260.69 / $1,994.55	Professional		$902.35	$1,260.69	$1,994.55