Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,327.18 / $2,747.00 / $7,920.26	Facility		$1,327.18	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.08 / $929.31 / $2,324.73	Professional		$561.08	$929.31	$2,324.73
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 $650.17 / $1,261.95 / $1,830.26	Professional		$650.17	$1,261.95	$1,830.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,069.29 / $1,404.08 / $1,737.68	Professional		$1,069.29	$1,404.08	$1,737.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $747.79 / $1,152.20 / $1,681.80	Facility		$747.79	$1,152.20	$1,681.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $945.00 / $1,134.72 / $1,985.28	Professional		$945.00	$1,134.72	$1,985.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $832.86 / $1,161.78 / $1,354.07	Facility		$832.86	$1,161.78	$1,354.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $795.28 / $1,259.70 / $1,727.36	Facility		$795.28	$1,259.70	$1,727.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,066.89 / $1,444.33 / $1,872.43	Professional		$1,066.89	$1,444.33	$1,872.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,052.18 / $3,052.18 / $3,052.18	Facility		$3,052.18	$3,052.18	$3,052.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,238.06 / $1,569.31 / $1,907.32	Professional		$1,238.06	$1,569.31	$1,907.32
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 $926.80 / $1,377.83 / $2,085.46	Professional		$926.80	$1,377.83	$2,085.46