Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $14,791.08 / $25,118.86	Facility		$1,659.59	$14,791.08	$25,118.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,122.02 / $3,235.94	Professional		$630.96	$1,122.02	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,897.79	Facility		$4,365.16	$4,365.16	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,174.90 / $1,737.80	Professional		$602.56	$1,174.90	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,548.82	Professional		$933.25	$1,288.25	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,096.48 / $18,620.87	Facility		$676.08	$1,096.48	$18,620.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,698.24	Professional		$891.25	$1,202.26	$1,698.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $1,348.96	Facility		$1,096.48	$1,288.25	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $977.24 / $1,584.89	Facility		$630.96	$977.24	$1,584.89
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 $1,230.27 / $1,412.54 / $1,819.70	Professional		$1,230.27	$1,412.54	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $18,197.01 / $22,908.68	Facility		$2,818.38	$18,197.01	$22,908.68
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,288.25 / $1,862.09	Professional		$812.83	$1,288.25	$1,862.09