Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $21,877.62	Facility		$1,621.81	$2,041.74	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $1,995.26	Professional		$794.33	$954.99	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,737.80 / $2,454.71	Professional		$891.25	$1,737.80	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $1,995.26	Professional		$1,148.15	$1,513.56	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,380.38 / $2,754.23	Facility		$977.24	$1,380.38	$2,754.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $2,089.30	Professional		$1,174.90	$1,412.54	$2,089.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $1,621.81	Facility		$1,174.90	$1,513.56	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,905.46	Facility		$870.96	$1,148.15	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,513.56 / $2,137.96	Professional		$79.43	$1,513.56	$2,137.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility		$3,981.07	$3,981.07	$3,981.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $2,187.76	Professional		$1,479.11	$1,737.80	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $8,128.31 / $12,882.50	Facility		$1,995.26	$8,128.31	$12,882.50
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