Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $7,943.28 / $13,182.57	Facility		$1,621.81	$7,943.28	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $2,238.72	Professional		$812.83	$1,047.13	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,737.80 / $2,511.89	Professional		$891.25	$1,737.80	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $2,041.74	Professional		$1,202.26	$1,548.82	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,513.56 / $2,818.38	Facility		$933.25	$1,513.56	$2,818.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,479.11 / $2,137.96	Professional		$1,202.26	$1,479.11	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $1,659.59	Facility		$1,348.96	$1,584.89	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,258.93 / $2,041.74	Facility		$933.25	$1,258.93	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,548.82 / $2,238.72	Professional		$79.43	$1,548.82	$2,238.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $10,964.78 / $13,182.57	Facility		$8,511.38	$10,964.78	$13,182.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $2,238.72	Professional		$1,479.11	$1,737.80	$2,238.72
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 $1,071.52 / $1,584.89 / $2,290.87	Professional		$1,071.52	$1,584.89	$2,290.87