Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1,659.59 / $15,848.93	Facility		$1.00	$1,659.59	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $1,778.28	Professional		$588.84	$741.31	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,148.15 / $1,698.24	Professional		$562.34	$1,148.15	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $1,548.82	Professional		$954.99	$1,288.25	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $933.25 / $1,584.89	Facility		$660.69	$933.25	$1,584.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,174.90 / $1,621.81	Professional		$977.24	$1,174.90	$1,621.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,258.93 / $1,318.26	Facility		$977.24	$1,258.93	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $954.99 / $1,548.82	Facility		$630.96	$954.99	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,288.25 / $1,778.28	Professional		$79.43	$1,288.25	$1,778.28
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 $1,202.26 / $1,412.54 / $1,778.28	Professional		$1,202.26	$1,412.54	$1,778.28
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 $758.58 / $1,258.93 / $1,819.70	Professional		$758.58	$1,258.93	$1,819.70