Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.46 / $4,962.67 / $7,920.26	Facility		$839.46	$4,962.67	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.38 / $1,950.56 / $4,517.47	Professional		$392.38	$1,950.56	$4,517.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.26 / $1,680.27 / $4,886.41	Professional		$645.26	$1,680.27	$4,886.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $739.19 / $1,524.11 / $4,016.98	Professional		$739.19	$1,524.11	$4,016.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $497.49 / $1,524.11 / $4,566.20	Facility		$497.49	$1,524.11	$4,566.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.98 / $2,326.52 / $5,087.31	Professional		$616.98	$2,326.52	$5,087.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $752.92 / $2,939.49 / $3,506.76	Facility		$752.92	$2,939.49	$3,506.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $497.49 / $2,541.85 / $4,566.20	Facility		$497.49	$2,541.85	$4,566.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $727.56 / $2,155.88 / $4,809.93	Professional		$727.56	$2,155.88	$4,809.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,410.62 / $9,461.19 / $13,050.49	Facility		$5,410.62	$9,461.19	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $730.27 / $1,299.68 / $4,763.08	Professional		$730.27	$1,299.68	$4,763.08
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 $2,661.37 / $3,955.81 / $5,298.46	Professional		$2,661.37	$3,955.81	$5,298.46