Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $7,943.28	Facility		$1,071.52	$1,778.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,778.28	Professional		$660.69	$870.96	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,548.82 / $2,187.76	Professional		$831.76	$1,548.82	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $1,862.09	Professional		$1,148.15	$1,513.56	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,862.09	Facility		$851.14	$1,096.48	$1,862.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,258.93 / $1,905.46	Professional		$1,096.48	$1,258.93	$1,905.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $1,479.11	Facility		$1,071.52	$1,412.54	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,737.80	Facility		$851.14	$1,071.52	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,380.38 / $1,995.26	Professional		$79.43	$1,380.38	$1,995.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $1,995.26	Professional		$1,348.96	$1,584.89	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,445.44 / $1,995.26	Professional		$912.01	$1,445.44	$1,995.26