Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,454.71 / $13,182.57	Facility		$1,584.89	$2,454.71	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $2,041.74	Professional		$676.08	$912.01	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,548.82 / $2,454.71	Professional		$954.99	$1,548.82	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,659.59 / $2,238.72	Professional		$1,000.00	$1,659.59	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,348.96 / $2,691.53	Facility		$776.25	$1,348.96	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $2,238.72	Professional		$1,148.15	$1,548.82	$2,238.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $1,862.09	Facility		$1,288.25	$1,778.28	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,318.26 / $1,995.26	Facility		$831.76	$1,318.26	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,659.59 / $2,344.23	Professional		$79.43	$1,659.59	$2,344.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,888.44 / $7,244.36	Facility		$4,570.88	$5,888.44	$7,244.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $2,398.83	Professional		$1,548.82	$1,905.46	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $8,912.51	Facility		$1,698.24	$5,754.40	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,344.23	Professional		$1,023.29	$1,584.89	$2,344.23