Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $7,943.28	Facility		$1,288.25	$1,698.24	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $645.65 / $1,621.81	Professional		$501.19	$645.65	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,174.90 / $1,778.28	Professional		$691.83	$1,174.90	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,230.27 / $1,445.44	Professional		$616.60	$1,230.27	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $977.24 / $2,238.72	Facility		$588.84	$977.24	$2,238.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,096.48 / $1,659.59	Professional		$954.99	$1,096.48	$1,659.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,318.26	Facility		$831.76	$1,148.15	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $954.99 / $1,380.38	Facility		$616.60	$954.99	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,148.15 / $1,737.80	Professional		$79.43	$1,148.15	$1,737.80
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 $1,047.13 / $1,380.38 / $1,949.84	Professional		$1,047.13	$1,380.38	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $12,589.25	Facility		$1,698.24	$5,754.40	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,148.15 / $1,737.80	Professional		$676.08	$1,148.15	$1,737.80