Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $15,848.93	Facility		$1,096.48	$1,412.54	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $660.69 / $1,380.38	Professional		$524.81	$660.69	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,174.90 / $1,698.24	Professional		$616.60	$1,174.90	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,445.44	Professional		$851.14	$1,122.02	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $977.24 / $1,949.84	Facility		$602.56	$977.24	$1,949.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $954.99 / $1,513.56	Professional		$812.83	$954.99	$1,513.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,122.02	Facility		$776.25	$1,071.52	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $794.33 / $1,318.26	Facility		$602.56	$794.33	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,071.52 / $1,513.56	Professional		$79.43	$1,071.52	$1,513.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $12,022.64 / $14,791.08	Facility		$8,709.64	$12,022.64	$14,791.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,513.56	Professional		$1,023.29	$1,202.26	$1,513.56
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 $676.08 / $1,071.52 / $1,548.82	Professional		$676.08	$1,071.52	$1,548.82