Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $23,988.33	Facility		$1,318.26	$1,659.59	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $2,089.30	Professional		$660.69	$870.96	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,412.54 / $1,995.26	Professional		$724.44	$1,412.54	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,659.59	Professional		$954.99	$1,258.93	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,202.26 / $2,238.72	Facility		$741.31	$1,202.26	$2,238.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,778.28	Professional		$977.24	$1,230.27	$1,778.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $1,318.26	Facility		$1,047.13	$1,288.25	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $977.24 / $1,659.59	Facility		$741.31	$977.24	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,258.93 / $1,778.28	Professional		$79.43	$1,258.93	$1,778.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $18,197.01 / $21,877.62	Facility		$13,489.63	$18,197.01	$21,877.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $1,778.28	Professional		$1,258.93	$1,412.54	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $26,302.68	Facility		$3,019.95	$20,892.96	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $1,819.70	Professional		$831.76	$1,288.25	$1,819.70