Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,862.09 / $13,182.57	Facility		$1,122.02	$1,862.09	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $2,137.96	Professional		$489.78	$691.83	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,174.90 / $1,862.09	Professional		$707.95	$1,174.90	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,202.26 / $1,737.80	Professional		$758.58	$1,202.26	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,000.00 / $1,995.26	Facility		$562.34	$1,000.00	$1,995.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $1,698.24	Professional		$831.76	$1,174.90	$1,698.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,318.26 / $1,412.54	Facility		$977.24	$1,318.26	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $977.24 / $1,513.56	Facility		$616.60	$977.24	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,174.90 / $1,778.28	Professional		$79.43	$1,174.90	$1,778.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,888.44 / $7,244.36	Facility		$4,570.88	$5,888.44	$7,244.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $1,819.70	Professional		$1,096.48	$1,412.54	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $8,912.51	Facility		$1,698.24	$5,754.40	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,122.02 / $1,778.28	Professional		$724.44	$1,122.02	$1,778.28