Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.17 / $10,529.40 / $30,593.00	Facility		$1,013.17	$10,529.40	$30,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.70 / $2,269.83 / $10,529.40	Professional		$422.70	$2,269.83	$10,529.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.36 / $4,314.81 / $12,669.99	Professional		$676.36	$4,314.81	$12,669.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $779.72 / $1,145.58 / $10,944.14	Professional		$779.72	$1,145.58	$10,944.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $566.32 / $4,129.14 / $12,065.75	Facility		$566.32	$4,129.14	$12,065.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $666.07 / $6,926.58 / $13,769.21	Professional		$666.07	$6,926.58	$13,769.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $866.31 / $8,552.78 / $9,751.50	Facility		$866.31	$8,552.78	$9,751.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $566.32 / $7,191.18 / $12,082.91	Facility		$566.32	$7,191.18	$12,082.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $800.64 / $5,924.24 / $13,650.30	Professional		$800.64	$5,924.24	$13,650.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,928.04 / $36,273.58 / $43,569.74	Facility		$27,928.04	$36,273.58	$43,569.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $809.90 / $1,441.40 / $13,343.64	Professional		$809.90	$1,441.40	$13,343.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $7,289.89 / $10,459.36 / $14,843.47	Professional		$7,289.89	$10,459.36	$14,843.47