Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,429.46 / $2,747.00 / $7,920.26	Facility		$1,429.46	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.15 / $931.50 / $3,759.55	Professional		$720.15	$931.50	$3,759.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.58 / $1,542.79 / $2,098.53	Professional		$988.58	$1,542.79	$2,098.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,145.85 / $1,635.77 / $1,841.71	Professional		$1,145.85	$1,635.77	$1,841.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $931.50 / $1,452.67 / $2,002.73	Facility		$931.50	$1,452.67	$2,002.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,085.08 / $1,268.80 / $2,278.94	Professional		$1,085.08	$1,268.80	$2,278.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $998.07 / $1,338.82 / $1,429.78	Facility		$998.07	$1,338.82	$1,429.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $931.50 / $1,560.80 / $1,909.51	Facility		$931.50	$1,560.80	$1,909.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,259.77 / $1,633.98 / $2,096.83	Professional		$1,259.77	$1,633.98	$2,096.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,634.23 / $3,634.23 / $3,634.23	Facility		$3,634.23	$3,634.23	$3,634.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,296.48 / $1,750.95 / $2,238.57	Professional		$1,296.48	$1,750.95	$2,238.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,050.08 / $1,492.12 / $2,242.69	Professional		$1,050.08	$1,492.12	$2,242.69