Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $13,803.84	Facility		$1,318.26	$1,698.24	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $741.31 / $1,819.70	Professional		$616.60	$741.31	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $4,897.79	Facility		$1,659.59	$1,659.59	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,174.90 / $1,737.80	Professional		$575.44	$1,174.90	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $1,584.89	Professional		$954.99	$1,318.26	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $912.01 / $1,698.24	Facility		$676.08	$912.01	$1,698.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $1,778.28	Professional		$1,047.13	$1,258.93	$1,778.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $1,348.96	Facility		$1,071.52	$1,288.25	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $912.01 / $1,548.82	Facility		$630.96	$912.01	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,348.96 / $1,862.09	Professional		$79.43	$1,348.96	$1,862.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $18,197.01 / $21,877.62	Facility		$13,489.63	$18,197.01	$21,877.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,819.70	Professional		$1,230.27	$1,445.44	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $18,620.87 / $26,302.68	Facility		$2,818.38	$18,620.87	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $1,862.09	Professional		$831.76	$1,288.25	$1,862.09