Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,290.87 / $13,182.57	Facility		$1,412.54	$2,290.87	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $3,090.30	Professional		$630.96	$891.25	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,445.44 / $2,290.87	Professional		$870.96	$1,445.44	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,479.11 / $2,137.96	Professional		$933.25	$1,479.11	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,258.93 / $2,398.83	Facility		$776.25	$1,258.93	$2,398.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $2,187.76	Professional		$1,047.13	$1,479.11	$2,187.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $1,737.80	Facility		$1,202.26	$1,659.59	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,202.26 / $1,862.09	Facility		$776.25	$1,202.26	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,479.11 / $2,187.76	Professional		$79.43	$1,479.11	$2,187.76
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 $1,348.96 / $1,778.28 / $2,238.72	Professional		$1,348.96	$1,778.28	$2,238.72
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 $933.25 / $1,412.54 / $2,187.76	Professional		$933.25	$1,412.54	$2,187.76