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 / $13,803.84	Facility		$1,584.89	$2,041.74	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,995.26	Professional		$776.25	$1,000.00	$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 $1,174.90 / $1,513.56 / $2,041.74	Professional		$1,174.90	$1,513.56	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,412.54 / $2,754.23	Facility		$870.96	$1,412.54	$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 $1,202.26 / $1,548.82 / $1,621.81	Facility		$1,202.26	$1,548.82	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,995.26	Facility		$870.96	$1,148.15	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,513.56 / $2,187.76	Professional		$79.43	$1,513.56	$2,187.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,456.54 / $7,762.47	Facility		$5,011.87	$6,456.54	$7,762.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $2,187.76	Professional		$1,445.44	$1,698.24	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,120.11 / $12,882.50	Facility		$1,995.26	$9,120.11	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,548.82 / $2,238.72	Professional		$1,047.13	$1,548.82	$2,238.72