Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $13,803.84	Facility		$1,445.44	$1,862.09	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $2,041.74	Professional		$660.69	$812.83	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,884.03	Facility		$2,041.74	$2,041.74	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,288.25 / $1,905.46	Professional		$616.60	$1,288.25	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $1,737.80	Professional		$1,047.13	$1,445.44	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,737.80	Facility		$741.31	$1,047.13	$1,737.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $1,819.70	Professional		$1,096.48	$1,318.26	$1,819.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $1,479.11	Facility		$1,047.13	$1,348.96	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,698.24	Facility		$707.95	$1,047.13	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,412.54 / $1,995.26	Professional		$79.43	$1,412.54	$1,995.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $12,022.64 / $14,791.08	Facility		$8,709.64	$12,022.64	$14,791.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $1,995.26	Professional		$1,318.26	$1,548.82	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $12,882.50 / $25,118.86	Facility		$1,995.26	$12,882.50	$25,118.86
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,412.54 / $2,041.74	Professional		$831.76	$1,412.54	$2,041.74