Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,949.84 / $7,943.28	Facility		$1,023.29	$1,949.84	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $954.99 / $1,949.84	Professional		$776.25	$954.99	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,659.59 / $2,398.83	Professional		$851.14	$1,659.59	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $1,949.84	Professional		$1,122.02	$1,479.11	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,288.25 / $2,041.74	Facility		$933.25	$1,288.25	$2,041.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $2,041.74	Professional		$1,148.15	$1,412.54	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $1,548.82	Facility		$1,202.26	$1,513.56	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,862.09	Facility		$851.14	$1,174.90	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,479.11 / $2,137.96	Professional		$79.43	$1,479.11	$2,137.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $10,964.78 / $13,182.57	Facility		$6,918.31	$10,964.78	$13,182.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $2,089.30	Professional		$1,412.54	$1,659.59	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $15,135.61	Facility		$1,995.26	$10,232.93	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $2,187.76	Professional		$1,000.00	$1,513.56	$2,187.76