Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,419.48 / $2,747.00 / $7,920.26	Facility		$1,419.48	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $785.26 / $939.58 / $3,729.47	Professional		$785.26	$939.58	$3,729.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $970.08 / $1,575.83 / $2,134.92	Professional		$970.08	$1,575.83	$2,134.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,124.83 / $1,585.73 / $1,805.14	Professional		$1,124.83	$1,585.73	$1,805.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $939.58 / $1,465.28 / $2,277.90	Facility		$939.58	$1,465.28	$2,277.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,161.36 / $1,526.83 / $2,308.66	Professional		$1,161.36	$1,526.83	$2,308.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,109.75 / $1,370.24 / $1,569.14	Facility		$1,109.75	$1,370.24	$1,569.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $939.58 / $1,592.07 / $2,277.90	Facility		$939.58	$1,592.07	$2,277.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,264.14 / $1,688.70 / $2,222.73	Professional		$1,264.14	$1,688.70	$2,222.73
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 $1,327.85 / $1,746.85 / $2,301.06	Professional		$1,327.85	$1,746.85	$2,301.06
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 $1,114.35 / $1,673.99 / $2,296.94	Professional		$1,114.35	$1,673.99	$2,296.94