Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $13,182.57	Facility		$1,288.25	$1,659.59	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $1,949.84	Professional		$616.60	$870.96	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,380.38 / $1,949.84	Professional		$851.14	$1,380.38	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,380.38 / $1,698.24	Professional		$645.65	$1,380.38	$1,698.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,258.93 / $7,943.28	Facility		$870.96	$1,258.93	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $2,089.30	Professional		$1,023.29	$1,202.26	$2,089.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,318.26	Facility		$977.24	$1,230.27	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $977.24 / $1,513.56	Facility		$812.83	$977.24	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,202.26 / $1,819.70	Professional		$79.43	$1,202.26	$1,819.70
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 $1,202.26 / $1,548.82 / $2,089.30	Professional		$1,202.26	$1,548.82	$2,089.30
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 $812.83 / $1,318.26 / $1,949.84	Professional		$812.83	$1,318.26	$1,949.84