Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $21,877.62	Facility		$1,348.96	$1,778.28	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $1,698.24	Professional		$616.60	$794.33	$1,698.24
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 / $1,318.26 / $1,737.80	Professional		$1,000.00	$1,318.26	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,071.52 / $2,238.72	Facility		$724.44	$1,071.52	$2,238.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,122.02 / $1,778.28	Professional		$977.24	$1,122.02	$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 $676.08 / $1,047.13 / $1,621.81	Facility		$676.08	$1,047.13	$1,621.81
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 $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 $1,258.93 / $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 $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 $776.25 / $1,230.27 / $1,778.28	Professional		$776.25	$1,230.27	$1,778.28