Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $13,182.57	Facility		$1,513.56	$1,995.26	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $3,388.44	Professional		$676.08	$933.25	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,548.82 / $2,454.71	Professional		$933.25	$1,548.82	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,548.82 / $2,238.72	Professional		$977.24	$1,548.82	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,318.26 / $2,290.87	Facility		$812.83	$1,318.26	$2,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $2,238.72	Professional		$1,071.52	$1,548.82	$2,238.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $1,862.09	Facility		$1,288.25	$1,778.28	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,288.25 / $1,995.26	Facility		$831.76	$1,288.25	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,621.81 / $2,344.23	Professional		$79.43	$1,621.81	$2,344.23
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 $1,479.11 / $1,862.09 / $2,630.27	Professional		$1,479.11	$1,862.09	$2,630.27
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 $1,000.00 / $1,513.56 / $2,344.23	Professional		$1,000.00	$1,513.56	$2,344.23