Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $13,803.84	Facility		$1,071.52	$1,380.38	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $645.65 / $1,348.96	Professional		$501.19	$645.65	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,148.15 / $1,659.59	Professional		$562.34	$1,148.15	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,288.25	Professional		$741.31	$954.99	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,023.29 / $1,862.09	Facility		$616.60	$1,023.29	$1,862.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,412.54	Professional		$758.58	$977.24	$1,412.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,096.48	Facility		$891.25	$1,047.13	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $812.83 / $1,348.96	Facility		$588.84	$812.83	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,047.13 / $1,479.11	Professional		$79.43	$1,047.13	$1,479.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $21,379.62 / $25,703.96	Facility		$15,135.61	$21,379.62	$25,703.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,174.90 / $1,479.11	Professional		$1,023.29	$1,174.90	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $30,902.95	Facility		$2,137.96	$13,182.57	$30,902.95
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,096.48 / $1,513.56	Professional		$691.83	$1,096.48	$1,513.56