Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $13,182.57	Facility		$1,819.70	$2,398.83	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $891.25 / $2,344.23	Professional		$724.44	$891.25	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,659.59 / $2,511.89	Professional		$1,000.00	$1,659.59	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,737.80 / $2,041.74	Professional		$870.96	$1,737.80	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,380.38 / $3,235.94	Facility		$891.25	$1,380.38	$3,235.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,584.89 / $2,398.83	Professional		$1,412.54	$1,584.89	$2,398.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $1,905.46	Facility		$1,318.26	$1,698.24	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,348.96 / $2,137.96	Facility		$933.25	$1,348.96	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,698.24 / $2,511.89	Professional		$79.43	$1,698.24	$2,511.89
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 $1,348.96 / $1,905.46 / $2,818.38	Professional		$1,348.96	$1,905.46	$2,818.38
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 $1,023.29 / $1,698.24 / $2,454.71	Professional		$1,023.29	$1,698.24	$2,454.71