Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $13,182.57	Facility		$1,513.56	$2,089.30	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,819.70	Professional		$602.56	$758.58	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,445.44 / $2,187.76	Professional		$851.14	$1,445.44	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,479.11 / $1,737.80	Professional		$758.58	$1,479.11	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,174.90 / $2,238.72	Facility		$758.58	$1,174.90	$2,238.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,348.96 / $2,041.74	Professional		$1,202.26	$1,348.96	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $1,621.81	Facility		$1,096.48	$1,479.11	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,096.48 / $1,737.80	Facility		$776.25	$1,096.48	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,445.44 / $2,137.96	Professional		$79.43	$1,445.44	$2,137.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,715.19	Facility		$6,606.93	$8,912.51	$10,715.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,398.83	Professional		$1,148.15	$1,621.81	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $12,589.25	Facility		$1,698.24	$5,754.40	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,412.54 / $2,089.30	Professional		$851.14	$1,412.54	$2,089.30