Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,134.35 / $2,747.00 / $7,920.26	Facility		$1,134.35	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.23 / $798.86 / $1,916.08	Professional		$468.23	$798.86	$1,916.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.38 / $1,082.49 / $1,549.35	Professional		$526.38	$1,082.49	$1,549.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $918.35 / $1,205.88 / $1,497.73	Professional		$918.35	$1,205.88	$1,497.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $621.32 / $934.37 / $1,442.64	Facility		$621.32	$934.37	$1,442.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $785.91 / $961.76 / $1,698.45	Professional		$785.91	$961.76	$1,698.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $683.06 / $967.48 / $1,158.43	Facility		$683.06	$967.48	$1,158.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $624.90 / $1,013.27 / $1,477.65	Facility		$624.90	$1,013.27	$1,477.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $878.37 / $1,233.38 / $1,591.03	Professional		$878.37	$1,233.38	$1,591.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,562.40 / $2,562.40 / $2,562.40	Facility		$2,562.40	$2,562.40	$2,562.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,059.08 / $1,342.57 / $1,631.59	Professional		$1,059.08	$1,342.57	$1,631.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00
United Facility/Professional Professional Modifier Low / Median / High Price $751.64 / $1,078.43 / $1,784.00	Professional		$751.64	$1,078.43	$1,784.00