Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,137.14 / $4,063.60 / $17,275.15	Facility		$1,137.14	$4,063.60	$17,275.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.98 / $790.87 / $2,225.61	Professional		$588.98	$790.87	$2,225.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $919.96 / $1,401.02 / $2,144.02	Professional		$919.96	$1,401.02	$2,144.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,077.08 / $1,472.88 / $1,812.77	Professional		$1,077.08	$1,472.88	$1,812.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $811.13 / $1,085.43 / $1,875.27	Facility		$811.13	$1,085.43	$1,875.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,073.83 / $1,277.94 / $2,134.66	Professional		$1,073.83	$1,277.94	$2,134.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,009.13 / $1,437.18 / $1,572.27	Facility		$1,009.13	$1,437.18	$1,572.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.28 / $1,214.17 / $5,370.75	Facility		$851.28	$1,214.17	$5,370.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,186.02 / $1,445.12 / $1,996.09	Professional		$1,186.02	$1,445.12	$1,996.09
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 $1,279.91 / $1,608.82 / $2,277.90	Professional		$1,279.91	$1,608.82	$2,277.90
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 $973.72 / $1,456.40 / $2,263.58	Professional		$973.72	$1,456.40	$2,263.58