Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $13,803.84	Facility		$1,584.89	$2,089.30	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $1,995.26	Professional		$616.60	$794.33	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,445.44 / $2,238.72	Professional		$851.14	$1,445.44	$2,238.72
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 $776.25 / $1,202.26 / $2,754.23	Facility		$776.25	$1,202.26	$2,754.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,380.38 / $2,041.74	Professional		$1,202.26	$1,380.38	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $1,621.81	Facility		$1,096.48	$1,513.56	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,174.90 / $1,949.84	Facility		$812.83	$1,174.90	$1,949.84
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 $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 $1,445.44 / $1,659.59 / $2,754.23	Professional		$1,445.44	$1,659.59	$2,754.23
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 $870.96 / $1,445.44 / $2,137.96	Professional		$870.96	$1,445.44	$2,137.96