Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $11,748.98 / $24,547.09	Facility		$1,905.46	$11,748.98	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $2,570.40	Professional		$812.83	$1,096.48	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,949.84 / $2,754.23	Professional		$933.25	$1,949.84	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,238.72	Professional		$1,288.25	$1,698.24	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $13,803.84	Facility		$1,096.48	$1,819.70	$13,803.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $2,344.23	Professional		$1,230.27	$1,548.82	$2,344.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $1,819.70	Facility		$1,258.93	$1,698.24	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,348.96 / $2,187.76	Facility		$933.25	$1,348.96	$2,187.76
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 $13,803.84 / $18,620.87 / $22,387.21	Facility		$13,803.84	$18,620.87	$22,387.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $2,454.71	Professional		$1,659.59	$1,949.84	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $25,703.96	Facility		$2,884.03	$17,782.79	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $2,398.83	Professional		$1,122.02	$1,737.80	$2,398.83