Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,659.59 / $7,943.28	Facility		$954.99	$1,659.59	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $2,041.74	Professional		$691.83	$933.25	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,548.82 / $1,995.26	Professional		$933.25	$1,548.82	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,380.38 / $1,698.24	Professional		$616.60	$1,380.38	$1,698.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,348.96 / $2,041.74	Facility		$933.25	$1,348.96	$2,041.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $1,995.26	Professional		$1,122.02	$1,412.54	$1,995.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $1,445.44	Facility		$1,071.52	$1,288.25	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,122.02 / $1,737.80	Facility		$776.25	$1,122.02	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,288.25 / $1,862.09	Professional		$79.43	$1,288.25	$1,862.09
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 $1,258.93 / $1,621.81 / $2,137.96	Professional		$1,258.93	$1,621.81	$2,137.96
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 $933.25 / $1,513.56 / $2,137.96	Professional		$933.25	$1,513.56	$2,137.96