Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,778.28 / $7,943.28	Facility		$933.25	$1,778.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $870.96 / $1,778.28	Professional		$707.95	$870.96	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,513.56 / $2,187.76	Professional		$794.33	$1,513.56	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $1,819.70	Professional		$1,047.13	$1,348.96	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,202.26 / $1,905.46	Facility		$851.14	$1,202.26	$1,905.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $1,862.09	Professional		$1,071.52	$1,258.93	$1,862.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $1,445.44	Facility		$1,071.52	$1,380.38	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,737.80	Facility		$776.25	$1,023.29	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,348.96 / $1,949.84	Professional		$79.43	$1,348.96	$1,949.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $1,949.84	Professional		$1,288.25	$1,513.56	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $8,128.31 / $12,882.50	Facility		$1,995.26	$8,128.31	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,380.38 / $1,995.26	Professional		$912.01	$1,380.38	$1,995.26