Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.87 / $2,747.00 / $7,920.26	Facility		$1,400.87	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.55 / $952.09 / $3,647.50	Professional		$491.55	$952.09	$3,647.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $945.48 / $1,563.69 / $2,200.80	Professional		$945.48	$1,563.69	$2,200.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,160.10 / $1,682.07 / $1,914.82	Professional		$1,160.10	$1,682.07	$1,914.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $729.45 / $1,218.86 / $2,046.99	Facility		$729.45	$1,218.86	$2,046.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $884.34 / $1,275.34 / $2,390.37	Professional		$884.34	$1,275.34	$2,390.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $761.95 / $1,230.90 / $1,499.46	Facility		$761.95	$1,230.90	$1,499.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $729.45 / $1,375.38 / $2,046.99	Facility		$729.45	$1,375.38	$2,046.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,092.42 / $1,691.04 / $2,227.62	Professional		$1,092.42	$1,691.04	$2,227.62
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 $1,359.83 / $1,788.92 / $2,356.48	Professional		$1,359.83	$1,788.92	$2,356.48
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 $940.71 / $1,714.99 / $2,454.21	Professional		$940.71	$1,714.99	$2,454.21