Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,737.80 / $7,943.28	Facility		$1,023.29	$1,737.80	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $1,862.09	Professional		$630.96	$812.83	$1,862.09
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 $575.44 / $1,230.27 / $1,819.70	Professional		$575.44	$1,230.27	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,659.59	Professional		$1,023.29	$1,380.38	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $977.24 / $1,621.81	Facility		$691.83	$977.24	$1,621.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $1,737.80	Professional		$1,023.29	$1,258.93	$1,737.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,318.26 / $1,380.38	Facility		$977.24	$1,318.26	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $977.24 / $1,584.89	Facility		$660.69	$977.24	$1,584.89
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 $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,445.44 / $1,862.09	Professional		$1,258.93	$1,445.44	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $7,585.78 / $31,622.78	Facility		$1,412.54	$7,585.78	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,318.26 / $1,905.46	Professional		$776.25	$1,318.26	$1,905.46