Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $21,877.62	Facility		$1,995.26	$2,570.40	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $3,715.35	Professional		$891.25	$1,148.15	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $2,818.38	Professional		$1,096.48	$1,819.70	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,862.09 / $2,187.76	Professional		$933.25	$1,862.09	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,584.89 / $3,467.37	Facility		$1,000.00	$1,584.89	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,737.80 / $2,570.40	Professional		$1,513.56	$1,737.80	$2,570.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $2,041.74	Facility		$1,412.54	$1,949.84	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $2,454.71	Facility		$1,023.29	$1,513.56	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,819.70 / $2,691.53	Professional		$79.43	$1,819.70	$2,691.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $22,387.21	Facility		$13,803.84	$18,620.87	$22,387.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $3,019.95	Professional		$1,621.81	$2,041.74	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $25,703.96	Facility		$2,884.03	$17,782.79	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $2,754.23	Professional		$1,096.48	$1,862.09	$2,754.23