Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,238.72 / $7,943.28	Facility		$1,202.26	$2,238.72	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $2,754.23	Professional		$933.25	$1,202.26	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,089.30 / $2,691.53	Professional		$1,230.27	$2,089.30	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,905.46 / $2,290.87	Professional		$851.14	$1,905.46	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $2,630.27	Facility		$1,202.26	$1,698.24	$2,630.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $2,691.53	Professional		$1,445.44	$1,819.70	$2,691.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,737.80 / $1,862.09	Facility		$1,513.56	$1,737.80	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,621.81 / $2,344.23	Facility		$1,047.13	$1,621.81	$2,344.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,737.80 / $2,511.89	Professional		$79.43	$1,737.80	$2,511.89
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 $1,698.24 / $2,187.76 / $2,884.03	Professional		$1,698.24	$2,187.76	$2,884.03
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 $1,230.27 / $2,238.72 / $2,818.38	Professional		$1,230.27	$2,238.72	$2,818.38