Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $15,848.93	Facility		$1,288.25	$1,659.59	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $1,737.80	Professional		$602.56	$724.44	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,148.15 / $1,698.24	Professional		$549.54	$1,148.15	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,548.82	Professional		$933.25	$1,288.25	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $891.25 / $1,659.59	Facility		$660.69	$891.25	$1,659.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $1,737.80	Professional		$1,023.29	$1,230.27	$1,737.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $1,318.26	Facility		$1,071.52	$1,258.93	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $891.25 / $1,513.56	Facility		$616.60	$891.25	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,318.26 / $1,778.28	Professional		$79.43	$1,318.26	$1,778.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,442.29 / $32,359.37 / $38,904.51	Facility		$23,442.29	$32,359.37	$38,904.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,380.38 / $1,778.28	Professional		$1,202.26	$1,380.38	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $20,892.96 / $39,810.72	Facility		$2,818.38	$20,892.96	$39,810.72
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,258.93 / $1,819.70	Professional		$831.76	$1,258.93	$1,819.70