Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $7,943.28	Facility		$1,148.15	$1,445.44	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $1,412.54	Professional		$575.44	$707.95	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,230.27 / $1,737.80	Professional		$630.96	$1,230.27	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,412.54	Professional		$812.83	$1,071.52	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,949.84	Facility		$691.83	$1,047.13	$1,949.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,513.56	Professional		$851.14	$1,047.13	$1,513.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,148.15	Facility		$891.25	$1,122.02	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $870.96 / $1,412.54	Facility		$616.60	$870.96	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,096.48 / $1,548.82	Professional		$79.43	$1,096.48	$1,548.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,908.68 / $28,840.32 / $35,481.34	Facility		$22,908.68	$28,840.32	$35,481.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,548.82	Professional		$1,047.13	$1,230.27	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $40,738.03	Facility		$1,096.48	$3,715.35	$40,738.03
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,148.15 / $1,621.81	Professional		$741.31	$1,148.15	$1,621.81