Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $7,943.28 / $23,988.33	Facility		$1,513.56	$7,943.28	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $2,290.87	Professional		$758.58	$1,023.29	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,584.89 / $2,290.87	Professional		$831.76	$1,584.89	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $1,905.46	Professional		$1,096.48	$1,445.44	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,380.38 / $2,691.53	Facility		$933.25	$1,380.38	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $1,995.26	Professional		$1,122.02	$1,380.38	$1,995.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $1,548.82	Facility		$1,174.90	$1,479.11	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,905.46	Facility		$851.14	$1,148.15	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,445.44 / $2,041.74	Professional		$79.43	$1,445.44	$2,041.74
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 $1,445.44 / $1,621.81 / $2,041.74	Professional		$1,445.44	$1,621.81	$2,041.74
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 $977.24 / $1,479.11 / $2,137.96	Professional		$977.24	$1,479.11	$2,137.96