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 / $13,182.57	Facility		$1,995.26	$2,570.40	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $2,570.40	Professional		$776.25	$1,023.29	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $2,754.23	Professional		$1,071.52	$1,778.28	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,819.70 / $2,137.96	Professional		$933.25	$1,819.70	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,584.89 / $3,467.37	Facility		$977.24	$1,584.89	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $2,570.40	Professional		$1,445.44	$1,698.24	$2,570.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $1,995.26	Facility		$1,380.38	$1,778.28	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $2,290.87	Facility		$1,023.29	$1,513.56	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,778.28 / $2,691.53	Professional		$79.43	$1,778.28	$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 $1,659.59 / $2,089.30 / $3,019.95	Professional		$1,659.59	$2,089.30	$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 $1,047.13 / $1,778.28 / $2,754.23	Professional		$1,047.13	$1,778.28	$2,754.23