Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,621.81 / $7,943.28	Facility		$851.14	$1,621.81	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $1,621.81	Professional		$645.65	$812.83	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,380.38 / $1,995.26	Professional		$707.95	$1,380.38	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $1,659.59	Professional		$954.99	$1,230.27	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,698.24	Facility		$794.33	$1,096.48	$1,698.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,174.90 / $1,698.24	Professional		$977.24	$1,174.90	$1,698.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $1,288.25	Facility		$1,047.13	$1,258.93	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $977.24 / $1,621.81	Facility		$741.31	$977.24	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,230.27 / $1,778.28	Professional		$79.43	$1,230.27	$1,778.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,456.54 / $7,762.47	Facility		$5,011.87	$6,456.54	$7,762.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,380.38 / $1,778.28	Professional		$1,202.26	$1,380.38	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,120.11 / $12,882.50	Facility		$1,995.26	$9,120.11	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,258.93 / $1,778.28	Professional		$831.76	$1,258.93	$1,778.28