Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $12,882.50 / $23,988.33	Facility		$1,513.56	$12,882.50	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $4,897.79 / $11,748.98	Professional		$776.25	$4,897.79	$11,748.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $5,128.61 / $17,782.79	Professional		$1,047.13	$5,128.61	$17,782.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $5,623.41 / $14,125.38	Professional		$1,288.25	$5,623.41	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,495.41 / $17,378.01	Facility		$1,000.00	$5,495.41	$17,378.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,511.89 / $13,182.57	Professional		$1,202.26	$2,511.89	$13,182.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $10,715.19 / $13,489.63	Facility		$7,079.46	$10,715.19	$13,489.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,137.96 / $13,803.84	Facility		$954.99	$2,137.96	$13,803.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,949.84 / $15,135.61	Professional		$79.43	$1,949.84	$15,135.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,908.68 / $29,512.09 / $37,153.52	Facility		$22,908.68	$29,512.09	$37,153.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,570.40 / $14,454.40	Professional		$1,445.44	$2,570.40	$14,454.40
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $26,302.68 / $52,480.75	Facility		$3,311.31	$26,302.68	$52,480.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,511.89 / $15,488.17	Professional		$1,258.93	$2,511.89	$15,488.17