Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,290.87 / $7,943.28	Facility		$1,230.27	$2,290.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $2,818.38	Professional		$954.99	$1,230.27	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $2,754.23	Professional		$1,258.93	$2,137.96	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,905.46 / $2,344.23	Professional		$870.96	$1,905.46	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $2,691.53	Facility		$1,230.27	$1,737.80	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,754.23	Professional		$1,548.82	$1,949.84	$2,754.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,778.28 / $2,187.76	Facility		$1,548.82	$1,778.28	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,659.59 / $2,570.40	Facility		$1,071.52	$1,659.59	$2,570.40
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 $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 $1,737.80 / $2,238.72 / $2,951.21	Professional		$1,737.80	$2,238.72	$2,951.21
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 $1,380.38 / $2,187.76 / $2,884.03	Professional		$1,380.38	$2,187.76	$2,884.03