Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,472.50 / $1,893.29 / $7,920.26	Facility		$1,472.50	$1,893.29	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.18 / $847.54 / $2,378.90	Professional		$511.18	$847.54	$2,378.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,038.88 / $1,558.06 / $2,302.14	Professional		$1,038.88	$1,558.06	$2,302.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,078.86 / $1,549.61 / $1,994.43	Professional		$1,078.86	$1,549.61	$1,994.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $814.87 / $1,241.23 / $2,047.07	Facility		$814.87	$1,241.23	$2,047.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.71 / $1,388.97 / $2,130.42	Professional		$1,071.71	$1,388.97	$2,130.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $934.65 / $1,576.65 / $1,708.50	Facility		$934.65	$1,576.65	$1,708.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $814.87 / $1,241.23 / $2,173.57	Facility		$814.87	$1,241.23	$2,173.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,190.00 / $1,588.01 / $2,161.13	Professional		$1,190.00	$1,588.01	$2,161.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,212.23 / $1,677.79 / $2,400.02	Professional		$1,212.23	$1,677.79	$2,400.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,184.40 / $1,638.00 / $2,604.67	Professional		$1,184.40	$1,638.00	$2,604.67