Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $7,943.28	Facility		$1,905.46	$2,454.71	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $2,630.27	Professional		$870.96	$1,096.48	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,698.24 / $2,630.27	Professional		$977.24	$1,698.24	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $2,290.87	Professional		$1,412.54	$1,905.46	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,412.54 / $2,398.83	Facility		$912.01	$1,412.54	$2,398.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $2,454.71	Professional		$1,318.26	$1,659.59	$2,454.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $1,949.84	Facility		$1,445.44	$1,862.09	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,412.54 / $2,089.30	Facility		$933.25	$1,412.54	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,819.70 / $2,570.40	Professional		$79.43	$1,819.70	$2,570.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,488.17 / $20,892.96 / $25,703.96	Facility		$15,488.17	$20,892.96	$25,703.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $2,884.03	Professional		$1,659.59	$1,995.26	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $38,018.94	Facility		$2,884.03	$17,782.79	$38,018.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $2,630.27	Professional		$1,230.27	$1,862.09	$2,630.27