Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $7,943.28	Facility		$1,318.26	$1,698.24	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $1,621.81	Professional		$575.44	$758.58	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,445.44 / $2,041.74	Professional		$691.83	$1,445.44	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,659.59	Professional		$954.99	$1,258.93	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,023.29 / $2,137.96	Facility		$776.25	$1,023.29	$2,137.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,071.52 / $1,698.24	Professional		$933.25	$1,071.52	$1,698.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,318.26	Facility		$870.96	$1,174.90	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,479.11	Facility		$724.44	$1,000.00	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,230.27 / $1,778.28	Professional		$79.43	$1,230.27	$1,778.28
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 $1,230.27 / $1,445.44 / $1,819.70	Professional		$1,230.27	$1,445.44	$1,819.70
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 $758.58 / $1,202.26 / $1,778.28	Professional		$758.58	$1,202.26	$1,778.28