Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $13,803.84	Facility		$1,023.29	$1,230.27	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $691.83 / $1,513.56	Professional		$512.86	$691.83	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,479.11	Professional		$691.83	$1,047.13	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,000.00 / $1,258.93	Professional		$446.68	$1,000.00	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $933.25 / $13,803.84	Facility		$645.65	$933.25	$13,803.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,621.81	Professional		$741.31	$1,023.29	$1,621.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $954.99 / $1,047.13	Facility		$812.83	$954.99	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $691.83 / $1,202.26	Facility		$512.86	$691.83	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $977.24 / $1,445.44	Professional		$79.43	$977.24	$1,445.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,882.50	Facility		$7,762.47	$10,232.93	$12,882.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $1,548.82	Professional		$912.01	$1,174.90	$1,548.82
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 $724.44 / $1,071.52 / $1,513.56	Professional		$724.44	$1,071.52	$1,513.56