Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $11,220.18 / $18,197.01	Facility		$1,023.29	$11,220.18	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,698.24 / $12,882.50	Professional		$478.63	$1,698.24	$12,882.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $6,606.93 / $20,417.38	Professional		$724.44	$6,606.93	$20,417.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,174.90 / $16,982.44	Professional		$758.58	$1,174.90	$16,982.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $9,332.54 / $17,378.01	Facility		$630.96	$9,332.54	$17,378.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $5,754.40 / $19,054.61	Professional		$676.08	$5,754.40	$19,054.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $13,182.57 / $14,454.40	Facility		$9,549.93	$13,182.57	$14,454.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $6,606.93 / $16,218.10	Facility		$575.44	$6,606.93	$16,218.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,202.26 / $19,054.61	Professional		$79.43	$1,202.26	$19,054.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $38,904.51 / $66,069.34	Facility		$28,183.83	$38,904.51	$66,069.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,584.89 / $17,782.79	Professional		$891.25	$1,584.89	$17,782.79
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $26,302.68 / $79,432.82	Facility		$3,311.31	$26,302.68	$79,432.82
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $9,120.11 / $19,498.45	Professional		$741.31	$9,120.11	$19,498.45