Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,257.46 / $2,747.00 / $7,920.26	Facility		$1,257.46	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $608.20 / $1,257.46 / $3,268.87	Professional		$608.20	$1,257.46	$3,268.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.39 / $1,304.27 / $1,749.54	Professional		$814.39	$1,304.27	$1,749.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $877.77 / $1,239.45 / $1,410.95	Professional		$877.77	$1,239.45	$1,410.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $841.77 / $1,203.73 / $1,809.81	Facility		$841.77	$1,203.73	$1,809.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $905.19 / $1,176.08 / $1,799.41	Professional		$905.19	$1,176.08	$1,799.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $862.41 / $1,091.55 / $1,301.52	Facility		$862.41	$1,091.55	$1,301.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $841.77 / $1,335.87 / $1,767.90	Facility		$841.77	$1,335.87	$1,767.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,039.50 / $1,408.59 / $1,949.52	Professional		$1,039.50	$1,408.59	$1,949.52
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 $1,175.32 / $1,388.29 / $2,036.74	Professional		$1,175.32	$1,388.29	$2,036.74
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 $944.01 / $1,249.50 / $2,014.18	Professional		$944.01	$1,249.50	$2,014.18