Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.01 / $2,747.00 / $7,920.26	Facility		$1,548.01	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.88 / $951.16 / $2,458.35	Professional		$601.88	$951.16	$2,458.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $747.81 / $1,388.04 / $2,156.96	Professional		$747.81	$1,388.04	$2,156.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.26 / $1,694.05 / $2,030.95	Professional		$1,445.26	$1,694.05	$2,030.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $927.92 / $1,274.40 / $1,699.80	Facility		$927.92	$1,274.40	$1,699.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,011.85 / $1,304.33 / $2,071.60	Professional		$1,011.85	$1,304.33	$2,071.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $867.30 / $1,293.59 / $1,575.84	Facility		$867.30	$1,293.59	$1,575.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $917.69 / $1,326.69 / $2,004.52	Facility		$917.69	$1,326.69	$2,004.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,160.66 / $1,559.28 / $2,156.96	Professional		$1,160.66	$1,559.28	$2,156.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,140.94 / $3,140.94 / $3,140.94	Facility		$3,140.94	$3,140.94	$3,140.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,214.78 / $1,783.07 / $2,467.25	Professional		$1,214.78	$1,783.07	$2,467.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,002.33 / $1,510.18 / $2,430.71	Professional		$1,002.33	$1,510.18	$2,430.71