Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $7,943.28	Facility		$1,584.89	$2,041.74	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $1,995.26	Professional		$794.33	$977.24	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,698.24 / $2,454.71	Professional		$870.96	$1,698.24	$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 $954.99 / $1,348.96 / $2,754.23	Facility		$954.99	$1,348.96	$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 $1,230.27 / $1,513.56 / $1,584.89	Facility		$1,230.27	$1,513.56	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,949.84	Facility		$851.14	$1,174.90	$1,949.84
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 $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 $1,445.44 / $1,698.24 / $2,137.96	Professional		$1,445.44	$1,698.24	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $2,187.76	Professional		$1,000.00	$1,548.82	$2,187.76