Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,549.46 / $5,380.00 / $7,940.20	Facility		$1,549.46	$5,380.00	$7,940.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $576.16 / $922.78 / $2,104.36	Professional		$576.16	$922.78	$2,104.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,007.91 / $1,510.42 / $2,354.15	Professional		$1,007.91	$1,510.42	$2,354.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,127.08 / $1,615.29 / $1,988.05	Professional		$1,127.08	$1,615.29	$1,988.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $872.31 / $1,198.76 / $2,049.27	Facility		$872.31	$1,198.76	$2,049.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,127.21 / $1,403.65 / $2,240.76	Professional		$1,127.21	$1,403.65	$2,240.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,029.30 / $1,573.50 / $1,707.16	Facility		$1,029.30	$1,573.50	$1,707.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $899.20 / $1,326.46 / $3,005.10	Facility		$899.20	$1,326.46	$3,005.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,252.61 / $1,590.06 / $2,159.42	Professional		$1,252.61	$1,590.06	$2,159.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,222.39	Facility		$4,573.85	$5,897.44	$7,222.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,351.12 / $1,722.69 / $2,404.64	Professional		$1,351.12	$1,722.69	$2,404.64
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 $1,046.11 / $1,567.98 / $2,672.95	Professional		$1,046.11	$1,567.98	$2,672.95