Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,737.80 / $7,943.28	Facility		$954.99	$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 $1,023.29 / $1,348.96 / $1,778.28	Professional		$1,023.29	$1,348.96	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,905.46	Facility		$870.96	$1,202.26	$1,905.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $1,862.09	Professional		$1,047.13	$1,258.93	$1,862.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $1,412.54	Facility		$1,096.48	$1,348.96	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,698.24	Facility		$776.25	$1,023.29	$1,698.24
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 $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $1,949.84	Professional		$1,258.93	$1,584.89	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,380.38 / $2,041.74	Professional		$891.25	$1,380.38	$2,041.74