Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,818.38 / $12,022.64	Facility		$1,548.82	$2,818.38	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,174.90 / $4,570.88	Professional		$758.58	$1,174.90	$4,570.88
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $69.18 / $630.96 / $977.24	Professional	AS	$69.18	$630.96	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $2,818.38	Professional		$1,071.52	$1,778.28	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,819.70 / $2,630.27	Professional		$1,174.90	$1,819.70	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,548.82 / $5,623.41	Facility		$851.14	$1,548.82	$5,623.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $2,754.23	Professional		$1,258.93	$1,778.28	$2,754.23
Moda Health Facility/Professional Professional Modifier AS Low / Median / High Price $97.72 / $457.09 / $977.24	Professional	AS	$97.72	$457.09	$977.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $2,187.76	Facility		$1,513.56	$2,089.30	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,548.82 / $2,344.23	Facility		$933.25	$1,548.82	$2,344.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,862.09 / $2,754.23	Professional		$79.43	$1,862.09	$2,754.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $11,220.18 / $13,489.63	Facility		$8,317.64	$11,220.18	$13,489.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $2,951.21	Professional		$1,659.59	$2,187.76	$2,951.21
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 $1,174.90 / $1,778.28 / $2,754.23	Professional		$1,174.90	$1,778.28	$2,754.23