Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,177.56 / $1,700.19 / $7,920.26	Facility		$1,177.56	$1,700.19	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $644.21 / $869.62 / $1,778.32	Professional		$644.21	$869.62	$1,778.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,004.97 / $1,486.06 / $2,344.67	Professional		$1,004.97	$1,486.06	$2,344.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,109.20 / $1,595.77 / $1,976.23	Professional		$1,109.20	$1,595.77	$1,976.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.01 / $1,200.51 / $2,035.16	Facility		$870.01	$1,200.51	$2,035.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.16 / $1,406.50 / $2,215.28	Professional		$1,148.16	$1,406.50	$2,215.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,078.47 / $1,563.55 / $1,705.82	Facility		$1,078.47	$1,563.55	$1,705.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $882.49 / $1,329.16 / $3,005.10	Facility		$882.49	$1,329.16	$3,005.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,258.59 / $1,592.58 / $2,153.92	Professional		$1,258.59	$1,592.58	$2,153.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,391.79 / $11,115.96 / $14,408.62	Facility		$8,391.79	$11,115.96	$14,408.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,331.05 / $1,706.69 / $2,400.02	Professional		$1,331.05	$1,706.69	$2,400.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,110.23 / $1,630.88 / $2,694.85	Professional		$1,110.23	$1,630.88	$2,694.85