Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,698.24 / $7,943.28	Facility		$1,023.29	$1,698.24	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $1,862.09	Professional		$616.60	$776.25	$1,862.09
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 $588.84 / $1,230.27 / $1,819.70	Professional		$588.84	$1,230.27	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $1,621.81	Professional		$977.24	$1,348.96	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $977.24 / $1,621.81	Facility		$691.83	$977.24	$1,621.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $1,698.24	Professional		$1,000.00	$1,230.27	$1,698.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $1,412.54	Facility		$1,071.52	$1,288.25	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $977.24 / $1,584.89	Facility		$660.69	$977.24	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,348.96 / $1,862.09	Professional		$79.43	$1,348.96	$1,862.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $1,862.09	Professional		$1,258.93	$1,479.11	$1,862.09
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 $794.33 / $1,318.26 / $1,949.84	Professional		$794.33	$1,318.26	$1,949.84