Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,267.32 / $2,747.00 / $7,920.26	Facility		$1,267.32	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.41 / $848.68 / $3,328.48	Professional		$637.41	$848.68	$3,328.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $863.83 / $1,353.40 / $1,884.15	Professional		$863.83	$1,353.40	$1,884.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,006.31 / $1,434.16 / $1,632.60	Professional		$1,006.31	$1,434.16	$1,632.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $848.68 / $1,285.46 / $1,828.99	Facility		$848.68	$1,285.46	$1,828.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,028.48 / $1,330.05 / $2,044.49	Professional		$1,028.48	$1,330.05	$2,044.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $918.61 / $1,225.88 / $1,283.72	Facility		$918.61	$1,225.88	$1,283.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $848.68 / $1,407.44 / $1,828.99	Facility		$848.68	$1,407.44	$1,828.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,115.84 / $1,489.94 / $1,962.53	Professional		$1,115.84	$1,489.94	$1,962.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,369.82 / $3,369.82 / $3,369.82	Facility		$3,369.82	$3,369.82	$3,369.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,174.70 / $1,545.38 / $2,035.68	Professional		$1,174.70	$1,545.38	$2,035.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $957.78 / $1,395.76 / $2,013.15	Professional		$957.78	$1,395.76	$2,013.15