Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,454.71 / $7,943.28	Facility		$1,288.25	$2,454.71	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $2,691.53	Professional		$870.96	$1,096.48	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,737.80 / $2,691.53	Professional		$954.99	$1,737.80	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $2,454.71	Professional		$1,621.81	$2,089.30	$2,454.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,445.44 / $2,290.87	Facility		$954.99	$1,445.44	$2,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,778.28 / $2,570.40	Professional		$1,445.44	$1,778.28	$2,570.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $2,041.74	Facility		$1,445.44	$1,819.70	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,445.44 / $2,238.72	Facility		$977.24	$1,445.44	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,862.09 / $2,691.53	Professional		$79.43	$1,862.09	$2,691.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,041.74 / $2,818.38	Professional		$1,698.24	$2,041.74	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,862.09 / $2,630.27	Professional		$1,258.93	$1,862.09	$2,630.27