Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $11,748.98 / $24,547.09	Facility		$1,513.56	$11,748.98	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $1,513.56	Professional		$1,000.00	$1,380.38	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $3,548.13	Professional		$2,137.96	$2,818.38	$3,548.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $3,467.37	Facility		$1,230.27	$1,513.56	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $18,620.87	Professional		$1,000.00	$1,380.38	$18,620.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $2,754.23	Facility		$1,659.59	$2,187.76	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $2,290.87	Facility		$1,023.29	$1,513.56	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $2,818.38	Professional		$79.43	$79.43	$2,818.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $36,307.81 / $52,480.75	Facility		$13,489.63	$36,307.81	$52,480.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,691.53 / $3,630.78	Professional		$2,041.74	$2,691.53	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $56,234.13	Facility		$3,019.95	$20,892.96	$56,234.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,630.27 / $3,715.35	Professional		$1,819.70	$2,630.27	$3,715.35