Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,737.80 / $7,943.28	Facility		$912.01	$1,737.80	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $851.14 / $1,737.80	Professional		$707.95	$851.14	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,513.56 / $2,137.96	Professional		$776.25	$1,513.56	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,737.80	Professional		$977.24	$1,288.25	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,174.90 / $1,905.46	Facility		$831.76	$1,174.90	$1,905.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,862.09	Professional		$1,023.29	$1,288.25	$1,862.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $1,412.54	Facility		$1,148.15	$1,380.38	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,096.48 / $1,737.80	Facility		$741.31	$1,096.48	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,348.96 / $1,905.46	Professional		$79.43	$1,348.96	$1,905.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,218.10 / $19,498.45	Facility		$12,022.64	$16,218.10	$19,498.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $1,905.46	Professional		$1,288.25	$1,513.56	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,378.01 / $23,988.33	Facility		$2,884.03	$17,378.01	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,412.54 / $1,995.26	Professional		$912.01	$1,412.54	$1,995.26