Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,290.87 / $15,848.93	Facility		$1,445.44	$2,290.87	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,023.29 / $2,344.23	Professional		$691.83	$1,023.29	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,584.89 / $2,630.27	Professional		$891.25	$1,584.89	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $2,691.53	Professional		$1,288.25	$1,862.09	$2,691.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,348.96 / $2,187.76	Facility		$812.83	$1,348.96	$2,187.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,511.89	Professional		$1,202.26	$1,659.59	$2,511.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $2,041.74	Facility		$1,348.96	$1,862.09	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,348.96 / $2,137.96	Facility		$831.76	$1,348.96	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,659.59 / $2,570.40	Professional		$79.43	$1,659.59	$2,570.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $22,387.21	Facility		$13,803.84	$18,620.87	$22,387.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $2,570.40	Professional		$1,348.96	$1,862.09	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $25,703.96	Facility		$2,884.03	$17,782.79	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,621.81 / $2,511.89	Professional		$1,047.13	$1,621.81	$2,511.89