Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $15,848.93	Facility		$1,659.59	$2,089.30	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $2,041.74	Professional		$741.31	$954.99	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,737.80 / $2,511.89	Professional		$912.01	$1,737.80	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $1,995.26	Professional		$1,148.15	$1,513.56	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,318.26 / $2,884.03	Facility		$891.25	$1,318.26	$2,884.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $2,137.96	Professional		$1,202.26	$1,445.44	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $1,659.59	Facility		$1,202.26	$1,548.82	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,949.84	Facility		$851.14	$1,174.90	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,584.89 / $2,187.76	Professional		$79.43	$1,584.89	$2,187.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,715.19 / $21,379.62	Facility		$4,168.69	$10,715.19	$21,379.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $2,238.72	Professional		$1,513.56	$1,778.28	$2,238.72
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 $1,000.00 / $1,584.89 / $2,290.87	Professional		$1,000.00	$1,584.89	$2,290.87