Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,862.09 / $7,943.28	Facility		$1,047.13	$1,862.09	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,862.09	Professional		$741.31	$870.96	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,584.89 / $2,290.87	Professional		$812.83	$1,584.89	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $1,862.09	Professional		$1,071.52	$1,412.54	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,288.25 / $1,995.26	Facility		$831.76	$1,288.25	$1,995.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $1,949.84	Professional		$1,096.48	$1,318.26	$1,949.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $1,479.11	Facility		$1,202.26	$1,445.44	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,819.70	Facility		$831.76	$1,096.48	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,412.54 / $2,041.74	Professional		$79.43	$1,412.54	$2,041.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $11,481.54 / $13,182.57	Facility		$8,511.38	$11,481.54	$13,182.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $1,995.26	Professional		$1,348.96	$1,584.89	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $2,041.74	Professional		$954.99	$1,445.44	$2,041.74