Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $13,182.57	Facility		$1,862.09	$2,511.89	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $2,454.71	Professional		$724.44	$933.25	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $2,630.27	Professional		$1,071.52	$1,737.80	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,819.70 / $2,137.96	Professional		$912.01	$1,819.70	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,412.54 / $3,388.44	Facility		$933.25	$1,412.54	$3,388.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,659.59 / $2,454.71	Professional		$1,479.11	$1,659.59	$2,454.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $1,995.26	Facility		$1,318.26	$1,778.28	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,380.38 / $2,238.72	Facility		$933.25	$1,380.38	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,737.80 / $2,570.40	Professional		$79.43	$1,737.80	$2,570.40
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 $1,698.24 / $1,995.26 / $2,951.21	Professional		$1,698.24	$1,995.26	$2,951.21
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 $1,071.52 / $1,737.80 / $2,570.40	Professional		$1,071.52	$1,737.80	$2,570.40