Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $13,182.57	Facility		$1,737.80	$2,238.72	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $2,187.76	Professional		$794.33	$1,023.29	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,905.46 / $2,691.53	Professional		$912.01	$1,905.46	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $2,187.76	Professional		$1,258.93	$1,621.81	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $2,818.38	Facility		$1,000.00	$1,412.54	$2,818.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,479.11 / $2,290.87	Professional		$1,288.25	$1,479.11	$2,290.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $1,778.28	Facility		$1,202.26	$1,584.89	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,318.26 / $2,041.74	Facility		$933.25	$1,318.26	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,659.59 / $2,344.23	Professional		$79.43	$1,659.59	$2,344.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $2,398.83	Professional		$1,621.81	$1,905.46	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,621.81 / $2,344.23	Professional		$1,047.13	$1,621.81	$2,344.23