Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $13,803.84	Facility		$1,174.90	$1,479.11	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $1,445.44	Professional		$575.44	$707.95	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,230.27 / $1,778.28	Professional		$645.65	$1,230.27	$1,778.28
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 $676.08 / $1,000.00 / $1,995.26	Facility		$676.08	$1,000.00	$1,995.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,513.56	Professional		$870.96	$1,047.13	$1,513.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,174.90	Facility		$870.96	$1,122.02	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $831.76 / $1,380.38	Facility		$645.65	$831.76	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,096.48 / $1,584.89	Professional		$79.43	$1,096.48	$1,584.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $11,748.98 / $13,803.84	Facility		$8,511.38	$11,748.98	$13,803.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,584.89	Professional		$1,047.13	$1,230.27	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $15,135.61	Facility		$1,995.26	$10,232.93	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $1,621.81	Professional		$741.31	$1,122.02	$1,621.81