Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $15,848.93	Facility		$1,819.70	$2,290.87	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $2,238.72	Professional		$812.83	$1,047.13	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,949.84 / $2,754.23	Professional		$1,000.00	$1,949.84	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,187.76	Professional		$1,258.93	$1,659.59	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $2,344.23	Facility		$1,000.00	$1,479.11	$2,344.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $2,398.83	Professional		$1,288.25	$1,548.82	$2,398.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $1,819.70	Facility		$1,318.26	$1,737.80	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,258.93 / $2,137.96	Facility		$933.25	$1,258.93	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,737.80 / $2,454.71	Professional		$79.43	$1,737.80	$2,454.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $10,715.19 / $21,379.62	Facility		$4,365.16	$10,715.19	$21,379.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $2,454.71	Professional		$1,659.59	$1,995.26	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $11,748.98 / $26,302.68	Facility		$2,137.96	$11,748.98	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $2,511.89	Professional		$1,148.15	$1,737.80	$2,511.89