Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,165.95 / $13,803.84	Facility		$1,778.28	$6,165.95	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $812.83 / $2,344.23	Professional		$478.63	$812.83	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,513.56 / $2,137.96	Professional		$707.95	$1,513.56	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,737.80	Professional		$1,000.00	$1,288.25	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,548.82 / $11,748.98	Facility		$776.25	$1,548.82	$11,748.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,778.28	Professional		$812.83	$1,096.48	$1,778.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,380.38	Facility		$891.25	$1,202.26	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,023.29 / $1,513.56	Facility		$630.96	$1,023.29	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,258.93 / $1,819.70	Professional		$79.43	$1,258.93	$1,819.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,232.93 / $12,022.64	Facility		$7,413.10	$10,232.93	$12,022.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $1,862.09	Professional		$1,258.93	$1,479.11	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,454.40	Facility		$1,995.26	$10,000.00	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,230.27 / $1,819.70	Professional		$758.58	$1,230.27	$1,819.70