Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $13,182.57	Facility		$1,445.44	$1,819.70	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,949.84	Professional		$645.65	$831.76	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,513.56 / $2,187.76	Professional		$794.33	$1,513.56	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $1,737.80	Professional		$1,000.00	$1,318.26	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,122.02 / $1,949.84	Facility		$776.25	$1,122.02	$1,949.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $1,862.09	Professional		$1,047.13	$1,258.93	$1,862.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $1,445.44	Facility		$1,047.13	$1,380.38	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,000.00 / $1,698.24	Facility		$691.83	$1,000.00	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,380.38 / $1,905.46	Professional		$79.43	$1,380.38	$1,905.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19,054.61 / $23,988.33 / $28,840.32	Facility		$19,054.61	$23,988.33	$28,840.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $1,949.84	Professional		$1,318.26	$1,548.82	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $32,359.37	Facility		$2,137.96	$13,182.57	$32,359.37
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,380.38 / $1,995.26	Professional		$933.25	$1,380.38	$1,995.26