Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.52 / $2,747.00 / $7,920.26	Facility		$1,426.52	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.69 / $949.81 / $3,791.52	Professional		$729.69	$949.81	$3,791.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $969.08 / $1,482.76 / $2,008.06	Professional		$969.08	$1,482.76	$2,008.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,058.84 / $1,493.33 / $1,699.96	Professional		$1,058.84	$1,493.33	$1,699.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $949.81 / $1,420.71 / $2,090.92	Facility		$949.81	$1,420.71	$2,090.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,093.06 / $1,417.52 / $2,172.87	Professional		$1,093.06	$1,417.52	$2,172.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,028.58 / $1,289.88 / $1,444.52	Facility		$1,028.58	$1,289.88	$1,444.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $949.81 / $1,582.86 / $2,042.09	Facility		$949.81	$1,582.86	$2,042.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,235.92 / $1,590.42 / $2,099.30	Professional		$1,235.92	$1,590.42	$2,099.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.13 / $10,179.44 / $11,932.41	Facility		$7,811.13	$10,179.44	$11,932.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,248.51 / $1,642.47 / $2,163.57	Professional		$1,248.51	$1,642.47	$2,163.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,121.11 / $1,570.23 / $2,159.71	Professional		$1,121.11	$1,570.23	$2,159.71