Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,454.71 / $15,848.93	Facility		$1,862.09	$2,454.71	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $2,344.23	Professional		$851.14	$1,096.48	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,041.74 / $2,951.21	Professional		$1,000.00	$2,041.74	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $2,511.89	Professional		$1,445.44	$1,862.09	$2,511.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $3,235.94	Facility		$977.24	$1,548.82	$3,235.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,584.89 / $2,511.89	Professional		$1,380.38	$1,584.89	$2,511.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $1,862.09	Facility		$1,258.93	$1,659.59	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,412.54 / $2,238.72	Facility		$933.25	$1,412.54	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,778.28 / $2,570.40	Professional		$79.43	$1,778.28	$2,570.40
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 $1,737.80 / $2,041.74 / $2,511.89	Professional		$1,737.80	$2,041.74	$2,511.89
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 $1,096.48 / $1,737.80 / $2,454.71	Professional		$1,096.48	$1,737.80	$2,454.71