Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,535.75 / $2,747.00 / $7,920.26	Facility		$1,535.75	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.43 / $892.64 / $3,996.10	Professional		$742.43	$892.64	$3,996.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.80 / $1,665.74 / $2,262.76	Professional		$1,023.80	$1,665.74	$2,262.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,232.34 / $1,761.77 / $1,983.57	Professional		$1,232.34	$1,761.77	$1,983.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $892.64 / $1,487.58 / $1,978.93	Facility		$892.64	$1,487.58	$1,978.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,120.32 / $1,318.52 / $2,449.77	Professional		$1,120.32	$1,318.52	$2,449.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,038.80 / $1,438.51 / $1,541.67	Facility		$1,038.80	$1,438.51	$1,541.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $892.64 / $1,640.68 / $1,953.04	Facility		$892.64	$1,640.68	$1,953.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,313.32 / $1,769.49 / $2,262.76	Professional		$1,313.32	$1,769.49	$2,262.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,892.24 / $23,665.33 / $28,288.01	Facility		$18,892.24	$23,665.33	$28,288.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,399.81 / $1,887.97 / $2,413.75	Professional		$1,399.81	$1,887.97	$2,413.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,137.24 / $1,573.65 / $2,421.42	Professional		$1,137.24	$1,573.65	$2,421.42