Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $19,054.61	Facility		$1,862.09	$2,344.23	$19,054.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $2,187.76	Professional		$831.76	$1,047.13	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,995.26 / $2,818.38	Professional		$954.99	$1,995.26	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $2,290.87	Professional		$1,318.26	$1,737.80	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,659.59 / $3,162.28	Facility		$933.25	$1,659.59	$3,162.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,621.81 / $2,398.83	Professional		$1,348.96	$1,621.81	$2,398.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $1,862.09	Facility		$1,412.54	$1,778.28	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,380.38 / $2,398.83	Facility		$954.99	$1,380.38	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,778.28 / $2,570.40	Professional		$79.43	$1,778.28	$2,570.40
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 $1,737.80 / $1,995.26 / $2,511.89	Professional		$1,737.80	$1,995.26	$2,511.89
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 $1,202.26 / $1,862.09 / $2,511.89	Professional		$1,202.26	$1,862.09	$2,511.89