Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,766.02 / $7,920.26 / $14,175.79	Facility		$1,766.02	$7,920.26	$14,175.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $832.31 / $968.77 / $2,641.10	Professional		$832.31	$968.77	$2,641.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,310.36 / $1,967.29 / $3,033.73	Professional		$1,310.36	$1,967.29	$3,033.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,646.54 / $2,035.72 / $2,450.02	Professional		$1,646.54	$2,035.72	$2,450.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,144.26 / $1,507.58 / $3,086.95	Facility		$1,144.26	$1,507.58	$3,086.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,656.12 / $1,856.28 / $3,292.17	Professional		$1,656.12	$1,856.28	$3,292.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,357.40 / $2,005.78 / $2,067.88	Facility		$1,357.40	$2,005.78	$2,067.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,220.42 / $1,726.54 / $3,086.95	Facility		$1,220.42	$1,726.54	$3,086.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,771.41 / $1,995.67 / $2,915.26	Professional		$1,771.41	$1,995.67	$2,915.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,391.79 / $11,229.67 / $14,408.62	Facility		$8,391.79	$11,229.67	$14,408.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,890.60 / $2,252.19 / $3,276.27	Professional		$1,890.60	$2,252.19	$3,276.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,448.15 / $1,946.09 / $3,094.59	Professional		$1,448.15	$1,946.09	$3,094.59