Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $13,803.84	Facility		$1,621.81	$2,089.30	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $2,041.74	Professional		$741.31	$977.24	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,778.28 / $2,511.89	Professional		$851.14	$1,778.28	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,041.74	Professional		$1,174.90	$1,548.82	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,412.54 / $2,818.38	Facility		$977.24	$1,412.54	$2,818.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $2,137.96	Professional		$1,174.90	$1,380.38	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $1,659.59	Facility		$1,148.15	$1,479.11	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,949.84	Facility		$933.25	$1,230.27	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,548.82 / $2,187.76	Professional		$79.43	$1,548.82	$2,187.76
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 $1,513.56 / $1,778.28 / $2,238.72	Professional		$1,513.56	$1,778.28	$2,238.72
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 $954.99 / $1,513.56 / $2,187.76	Professional		$954.99	$1,513.56	$2,187.76