Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.28 / $2,747.00 / $7,920.26	Facility		$1,301.28	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.24 / $849.27 / $3,424.75	Professional		$653.24	$849.27	$3,424.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $900.16 / $1,406.60 / $1,908.74	Professional		$900.16	$1,406.60	$1,908.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,043.14 / $1,491.28 / $1,679.03	Professional		$1,043.14	$1,491.28	$1,679.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $849.27 / $1,324.44 / $1,825.93	Facility		$849.27	$1,324.44	$1,825.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $977.16 / $1,184.40 / $2,074.17	Professional		$977.16	$1,184.40	$2,074.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $921.52 / $1,218.96 / $1,300.47	Facility		$921.52	$1,218.96	$1,300.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $849.27 / $1,422.63 / $1,825.93	Facility		$849.27	$1,422.63	$1,825.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,147.08 / $1,515.13 / $1,905.85	Professional		$1,147.08	$1,515.13	$1,905.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,993.29 / $6,338.31 / $7,624.85	Facility		$4,993.29	$6,338.31	$7,624.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,178.40 / $1,592.59 / $2,036.11	Professional		$1,178.40	$1,592.59	$2,036.11
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 $973.96 / $1,408.32 / $2,038.43	Professional		$973.96	$1,408.32	$2,038.43