Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,168.69 / $15,848.93	Facility		$1,380.38	$4,168.69	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,548.82 / $3,630.78	Professional		$707.95	$1,548.82	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,949.84 / $4,677.35	Professional		$954.99	$1,949.84	$4,677.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $3,801.89	Professional		$851.14	$1,122.02	$3,801.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,949.84 / $5,495.41	Facility		$851.14	$1,949.84	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,778.28 / $4,073.80	Professional		$933.25	$1,778.28	$4,073.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,090.30 / $3,467.37	Facility		$2,187.76	$3,090.30	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,548.82 / $4,570.88	Facility		$724.44	$1,548.82	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,737.80 / $4,168.69	Professional		$79.43	$1,737.80	$4,168.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,218.10 / $19,498.45	Facility		$12,022.64	$16,218.10	$19,498.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,884.03 / $4,168.69	Professional		$1,318.26	$2,884.03	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,378.01 / $23,988.33	Facility		$2,884.03	$17,378.01	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,137.96 / $4,265.80	Professional		$1,047.13	$2,137.96	$4,265.80