Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $7,943.28 / $7,943.28	Facility		$1,071.52	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,000.00 / $7,943.28	Professional		$691.83	$1,000.00	$7,943.28
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 $1,202.26 / $1,621.81 / $2,089.30	Professional		$1,202.26	$1,621.81	$2,089.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,096.48 / $6,606.93	Facility		$851.14	$1,096.48	$6,606.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,174.90 / $7,943.28	Professional		$691.83	$1,174.90	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,862.09 / $6,025.60	Facility		$1,122.02	$1,862.09	$6,025.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,071.52 / $6,606.93	Facility		$776.25	$1,071.52	$6,606.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $1,819.70	Professional		$79.43	$79.43	$1,819.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $2,630.27	Professional		$1,380.38	$1,819.70	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $31,622.78	Facility		$3,019.95	$20,892.96	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $2,570.40	Professional		$1,288.25	$1,862.09	$2,570.40