Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $11,220.18 / $17,378.01	Facility		$1,412.54	$11,220.18	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $1,995.26	Professional		$630.96	$812.83	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,412.54 / $1,905.46	Professional		$870.96	$1,412.54	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,318.26 / $1,621.81	Professional		$588.84	$1,318.26	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,348.96 / $13,182.57	Facility		$851.14	$1,348.96	$13,182.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $2,041.74	Professional		$891.25	$1,288.25	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,318.26	Facility		$977.24	$1,230.27	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,698.24	Facility		$741.31	$1,047.13	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,230.27 / $1,778.28	Professional		$79.43	$1,230.27	$1,778.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $2,041.74	Professional		$1,202.26	$1,513.56	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,412.54 / $1,905.46	Professional		$851.14	$1,412.54	$1,905.46