Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,067.60 / $2,747.00 / $8,724.53	Facility		$1,067.60	$2,747.00	$8,724.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.98 / $713.32 / $1,731.87	Professional		$543.98	$713.32	$1,731.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $902.13 / $1,339.98 / $2,107.35	Professional		$902.13	$1,339.98	$2,107.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,010.63 / $1,452.67 / $1,794.99	Professional		$1,010.63	$1,452.67	$1,794.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $782.56 / $1,074.30 / $1,829.32	Facility		$782.56	$1,074.30	$1,829.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,008.73 / $1,253.27 / $2,005.23	Professional		$1,008.73	$1,253.27	$2,005.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $960.39 / $1,412.84 / $1,572.27	Facility		$960.39	$1,412.84	$1,572.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $799.90 / $1,188.75 / $3,005.10	Facility		$799.90	$1,188.75	$3,005.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,122.66 / $1,418.59 / $1,939.03	Professional		$1,122.66	$1,418.59	$1,939.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,048.47	Facility		$4,573.85	$5,897.44	$7,048.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,200.28 / $1,538.67 / $2,152.71	Professional		$1,200.28	$1,538.67	$2,152.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $999.46 / $1,444.52 / $2,417.19	Professional		$999.46	$1,444.52	$2,417.19