Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $13,182.57	Facility		$1,905.46	$2,398.83	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $2,398.83	Professional		$891.25	$1,122.02	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,995.26 / $2,884.03	Professional		$1,023.29	$1,995.26	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $2,344.23	Professional		$1,348.96	$1,778.28	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $3,235.94	Facility		$1,047.13	$1,737.80	$3,235.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $2,454.71	Professional		$1,412.54	$1,698.24	$2,454.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $1,862.09	Facility		$1,412.54	$1,819.70	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,290.87	Facility		$1,047.13	$1,412.54	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,778.28 / $2,570.40	Professional		$79.43	$1,778.28	$2,570.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $10,964.78 / $13,803.84	Facility		$6,918.31	$10,964.78	$13,803.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $2,570.40	Professional		$1,698.24	$1,995.26	$2,570.40
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 $1,202.26 / $1,862.09 / $2,630.27	Professional		$1,202.26	$1,862.09	$2,630.27