Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $7,943.28	Facility		$1,380.38	$1,819.70	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $1,862.09	Professional		$588.84	$831.76	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,096.48 / $1,862.09	Professional		$691.83	$1,096.48	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,348.96 / $1,548.82	Professional		$676.08	$1,348.96	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,659.59	Facility		$724.44	$1,047.13	$1,659.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,819.70	Professional		$870.96	$1,071.52	$1,819.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,148.15 / $1,412.54	Facility		$891.25	$1,148.15	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,000.00 / $1,548.82	Facility		$676.08	$1,000.00	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,122.02 / $1,778.28	Professional		$79.43	$1,122.02	$1,778.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $12,302.69 / $14,454.40	Facility		$8,912.51	$12,302.69	$14,454.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $1,819.70	Professional		$1,288.25	$1,513.56	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,148.15 / $1,819.70	Professional		$707.95	$1,148.15	$1,819.70