Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,905.46 / $7,943.28	Facility		$1,174.90	$1,905.46	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $870.96 / $1,995.26	Professional		$707.95	$870.96	$1,995.26
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 $562.34 / $1,348.96 / $2,041.74	Professional		$562.34	$1,348.96	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $1,819.70	Professional		$1,096.48	$1,513.56	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,819.70	Facility		$776.25	$1,071.52	$1,819.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $1,905.46	Professional		$1,122.02	$1,380.38	$1,905.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $1,584.89	Facility		$1,096.48	$1,479.11	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,071.52 / $1,819.70	Facility		$724.44	$1,071.52	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,513.56 / $2,137.96	Professional		$79.43	$1,513.56	$2,137.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility		$3,981.07	$3,981.07	$3,981.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $2,137.96	Professional		$1,412.54	$1,659.59	$2,137.96
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 $851.14 / $1,479.11 / $2,187.76	Professional		$851.14	$1,479.11	$2,187.76