Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $13,182.57	Facility		$1,202.26	$1,659.59	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $1,621.81	Professional		$467.74	$616.60	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,148.15 / $1,698.24	Professional		$691.83	$1,148.15	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,202.26 / $1,412.54	Professional		$616.60	$1,202.26	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $954.99 / $2,137.96	Facility		$575.44	$954.99	$2,137.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,071.52 / $1,659.59	Professional		$954.99	$1,071.52	$1,659.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,288.25	Facility		$831.76	$1,148.15	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $891.25 / $1,412.54	Facility		$602.56	$891.25	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,122.02 / $1,698.24	Professional		$79.43	$1,122.02	$1,698.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $6,456.54	Facility		$3,890.45	$5,128.61	$6,456.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $1,905.46	Professional		$1,071.52	$1,318.26	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $8,128.31 / $12,882.50	Facility		$1,995.26	$8,128.31	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,122.02 / $1,659.59	Professional		$660.69	$1,122.02	$1,659.59