Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $13,182.57	Facility		$1,258.93	$1,621.81	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,584.89	Professional		$630.96	$776.25	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,348.96 / $1,949.84	Professional		$707.95	$1,348.96	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,621.81	Professional		$933.25	$1,202.26	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,096.48 / $2,187.76	Facility		$758.58	$1,096.48	$2,187.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,148.15 / $1,659.59	Professional		$954.99	$1,148.15	$1,659.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,230.27 / $1,258.93	Facility		$954.99	$1,230.27	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $933.25 / $1,548.82	Facility		$691.83	$933.25	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,202.26 / $1,737.80	Professional		$79.43	$1,202.26	$1,737.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,218.10 / $19,498.45	Facility		$12,022.64	$16,218.10	$19,498.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $1,737.80	Professional		$1,148.15	$1,348.96	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $23,442.29	Facility		$1,995.26	$10,232.93	$23,442.29
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $1,737.80	Professional		$812.83	$1,230.27	$1,737.80