Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $15,848.93	Facility		$1,513.56	$1,905.46	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $2,041.74	Professional		$691.83	$870.96	$2,041.74
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 $630.96 / $1,348.96 / $1,995.26	Professional		$630.96	$1,348.96	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $1,778.28	Professional		$1,096.48	$1,513.56	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,148.15 / $2,089.30	Facility		$776.25	$1,148.15	$2,089.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $1,905.46	Professional		$1,148.15	$1,380.38	$1,905.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $1,548.82	Facility		$1,174.90	$1,479.11	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,122.02 / $1,819.70	Facility		$724.44	$1,122.02	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,479.11 / $2,089.30	Professional		$79.43	$1,479.11	$2,089.30
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 $1,380.38 / $1,621.81 / $2,089.30	Professional		$1,380.38	$1,621.81	$2,089.30
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 $891.25 / $1,479.11 / $2,137.96	Professional		$891.25	$1,479.11	$2,137.96