Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,995.26 / $13,182.57	Facility		$1,202.26	$1,995.26	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $2,630.27	Professional		$588.84	$831.76	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,288.25 / $2,041.74	Professional		$794.33	$1,288.25	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,380.38 / $1,862.09	Professional		$812.83	$1,380.38	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,148.15 / $2,691.53	Facility		$691.83	$1,148.15	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $1,905.46	Professional		$851.14	$1,288.25	$1,905.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $1,548.82	Facility		$1,071.52	$1,479.11	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,096.48 / $1,621.81	Facility		$724.44	$1,096.48	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,380.38 / $1,949.84	Professional		$79.43	$1,380.38	$1,949.84
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 $1,288.25 / $1,548.82 / $2,290.87	Professional		$1,288.25	$1,548.82	$2,290.87
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 $851.14 / $1,318.26 / $1,949.84	Professional		$851.14	$1,318.26	$1,949.84