Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,137.96 / $7,943.28	Facility		$1,148.15	$2,137.96	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $2,630.27	Professional		$891.25	$1,148.15	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,995.26 / $2,570.40	Professional		$1,174.90	$1,995.26	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,778.28 / $2,187.76	Professional		$812.83	$1,778.28	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,454.71	Facility		$1,148.15	$1,621.81	$2,454.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $2,570.40	Professional		$1,412.54	$1,778.28	$2,570.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $1,778.28	Facility		$1,412.54	$1,659.59	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $2,290.87	Facility		$1,000.00	$1,479.11	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,621.81 / $2,398.83	Professional		$79.43	$1,621.81	$2,398.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $17,378.01 / $21,379.62	Facility		$12,882.50	$17,378.01	$21,379.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $2,754.23	Professional		$1,621.81	$2,089.30	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $26,302.68	Facility		$3,019.95	$20,892.96	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,949.84 / $2,570.40	Professional		$1,202.26	$1,949.84	$2,570.40