Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $7,943.28	Facility		$1,122.02	$1,380.38	$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 $851.14 / $1,071.52 / $1,122.02	Facility		$851.14	$1,071.52	$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 $11,481.54 / $23,442.29 / $35,481.34	Facility		$11,481.54	$23,442.29	$35,481.34
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 $1,698.24 / $5,754.40 / $40,738.03	Facility		$1,698.24	$5,754.40	$40,738.03
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