Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $7,943.28	Facility		$1,202.26	$1,778.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,905.46	Professional		$630.96	$851.14	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,380.38 / $2,238.72	Professional		$851.14	$1,380.38	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,445.44 / $2,041.74	Professional		$912.01	$1,445.44	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,230.27 / $2,344.23	Facility		$676.08	$1,230.27	$2,344.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,041.74	Professional		$1,047.13	$1,445.44	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $1,698.24	Facility		$1,174.90	$1,621.81	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,202.26 / $1,949.84	Facility		$758.58	$1,202.26	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,479.11 / $2,137.96	Professional		$79.43	$1,479.11	$2,137.96
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 $1,318.26 / $1,698.24 / $2,344.23	Professional		$1,318.26	$1,698.24	$2,344.23
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 $912.01 / $1,412.54 / $2,137.96	Professional		$912.01	$1,412.54	$2,137.96