Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $15,848.93	Facility		$1,698.24	$2,187.76	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $2,344.23	Professional		$851.14	$1,023.29	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $2,290.87	Professional		$954.99	$1,380.38	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,548.82 / $1,737.80	Professional		$758.58	$1,548.82	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,318.26 / $2,290.87	Facility		$870.96	$1,318.26	$2,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $2,187.76	Professional		$1,202.26	$1,445.44	$2,187.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $1,698.24	Facility		$1,230.27	$1,621.81	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,318.26 / $2,089.30	Facility		$831.76	$1,318.26	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,513.56 / $2,187.76	Professional		$79.43	$1,513.56	$2,187.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $13,803.84 / $16,595.87	Facility		$10,715.19	$13,803.84	$16,595.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $2,187.76	Professional		$1,548.82	$1,819.70	$2,187.76
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 $1,047.13 / $1,584.89 / $2,290.87	Professional		$1,047.13	$1,584.89	$2,290.87