Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $7,943.28	Facility		$1,202.26	$1,513.56	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $1,479.11	Professional		$602.56	$741.31	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,288.25 / $1,819.70	Professional		$660.69	$1,288.25	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,479.11	Professional		$851.14	$1,122.02	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,096.48 / $2,041.74	Facility		$707.95	$1,096.48	$2,041.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,584.89	Professional		$891.25	$1,096.48	$1,584.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,174.90 / $1,202.26	Facility		$912.01	$1,174.90	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $912.01 / $1,479.11	Facility		$630.96	$912.01	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,148.15 / $1,621.81	Professional		$79.43	$1,148.15	$1,621.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $16,218.10 / $19,498.45	Facility		$11,481.54	$16,218.10	$19,498.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $1,621.81	Professional		$1,096.48	$1,288.25	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $23,442.29	Facility		$1,698.24	$5,754.40	$23,442.29
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,202.26 / $1,698.24	Professional		$776.25	$1,202.26	$1,698.24