Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $7,943.28 / $13,182.57	Facility		$1,445.44	$7,943.28	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $2,238.72	Professional		$724.44	$933.25	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,513.56 / $2,187.76	Professional		$794.33	$1,513.56	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $1,819.70	Professional		$1,047.13	$1,348.96	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,288.25 / $2,454.71	Facility		$831.76	$1,288.25	$2,454.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,862.09	Professional		$1,047.13	$1,230.27	$1,862.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $1,445.44	Facility		$1,122.02	$1,380.38	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,737.80	Facility		$812.83	$1,071.52	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,380.38 / $1,949.84	Professional		$79.43	$1,380.38	$1,949.84
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 $1,288.25 / $1,513.56 / $1,949.84	Professional		$1,288.25	$1,513.56	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,378.01 / $23,988.33	Facility		$2,884.03	$17,378.01	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,380.38 / $1,995.26	Professional		$912.01	$1,380.38	$1,995.26