Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $7,943.28	Facility		$1,122.02	$1,412.54	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $1,380.38	Professional		$562.34	$691.83	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,202.26 / $1,698.24	Professional		$602.56	$1,202.26	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,380.38	Professional		$776.25	$1,023.29	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,023.29 / $1,905.46	Facility		$660.69	$1,023.29	$1,905.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,445.44	Professional		$812.83	$1,023.29	$1,445.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,122.02	Facility		$870.96	$1,096.48	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $851.14 / $1,380.38	Facility		$588.84	$851.14	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,071.52 / $1,513.56	Professional		$79.43	$1,071.52	$1,513.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $9,772.37 / $13,182.57	Facility		$5,011.87	$9,772.37	$13,182.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,513.56	Professional		$1,023.29	$1,202.26	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $15,135.61	Facility		$1,096.48	$3,715.35	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,096.48 / $1,548.82	Professional		$724.44	$1,096.48	$1,548.82