Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $13,182.57	Facility		$1,737.80	$2,290.87	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $2,187.76	Professional		$691.83	$870.96	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,584.89 / $2,398.83	Professional		$954.99	$1,584.89	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,621.81 / $1,905.46	Professional		$831.76	$1,621.81	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,288.25 / $2,630.27	Facility		$831.76	$1,288.25	$2,630.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,548.82 / $2,238.72	Professional		$1,348.96	$1,548.82	$2,238.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $1,778.28	Facility		$1,258.93	$1,659.59	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,288.25 / $1,995.26	Facility		$870.96	$1,288.25	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,621.81 / $2,344.23	Professional		$79.43	$1,621.81	$2,344.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,715.19	Facility		$6,606.93	$8,912.51	$10,715.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $2,630.27	Professional		$1,318.26	$1,778.28	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,621.81 / $2,398.83	Professional		$977.24	$1,621.81	$2,398.83