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 / $13,803.84	Facility		$1,202.26	$1,513.56	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $1,513.56	Professional		$602.56	$724.44	$1,513.56
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 $870.96 / $1,148.15 / $1,513.56	Professional		$870.96	$1,148.15	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,023.29 / $2,041.74	Facility		$707.95	$1,023.29	$2,041.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,584.89	Professional		$870.96	$1,071.52	$1,584.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,148.15 / $1,202.26	Facility		$954.99	$1,148.15	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $870.96 / $1,445.44	Facility		$660.69	$870.96	$1,445.44
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 $6,918.31 / $10,964.78 / $13,182.57	Facility		$6,918.31	$10,964.78	$13,182.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $1,621.81	Professional		$1,071.52	$1,288.25	$1,621.81
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 $758.58 / $1,148.15 / $1,659.59	Professional		$758.58	$1,148.15	$1,659.59