Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $13,803.84	Facility		$1,737.80	$2,290.87	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $2,398.83	Professional		$891.25	$1,047.13	$2,398.83
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 / $1,412.54 / $2,344.23	Professional		$954.99	$1,412.54	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,621.81 / $1,862.09	Professional		$794.33	$1,621.81	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,348.96 / $2,344.23	Facility		$870.96	$1,348.96	$2,344.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $2,238.72	Professional		$1,174.90	$1,445.44	$2,238.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $1,737.80	Facility		$1,202.26	$1,659.59	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,318.26 / $2,137.96	Facility		$851.14	$1,318.26	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,548.82 / $2,238.72	Professional		$79.43	$1,548.82	$2,238.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $12,882.50 / $16,595.87	Facility		$10,715.19	$12,882.50	$16,595.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $2,238.72	Professional		$1,584.89	$1,862.09	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $17,782.79	Facility		$1,995.26	$10,232.93	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $2,344.23	Professional		$1,071.52	$1,621.81	$2,344.23