Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,630.27 / $8,709.64	Facility		$1,698.24	$2,630.27	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $2,344.23	Professional		$707.95	$954.99	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,659.59 / $2,630.27	Professional		$1,023.29	$1,659.59	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $2,398.83	Professional		$1,071.52	$1,737.80	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,445.44 / $2,818.38	Facility		$812.83	$1,445.44	$2,818.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,398.83	Professional		$1,202.26	$1,659.59	$2,398.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $1,995.26	Facility		$1,412.54	$1,905.46	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,412.54 / $2,089.30	Facility		$891.25	$1,412.54	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,778.28 / $2,511.89	Professional		$79.43	$1,778.28	$2,511.89
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 $1,621.81 / $2,041.74 / $2,570.40	Professional		$1,621.81	$2,041.74	$2,570.40
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 $1,096.48 / $1,698.24 / $2,511.89	Professional		$1,096.48	$1,698.24	$2,511.89