Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $7,943.28	Facility		$1,202.26	$1,513.56	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $1,513.56	Professional		$588.84	$691.83	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,288.25 / $1,819.70	Professional		$660.69	$1,288.25	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,513.56	Professional		$870.96	$1,148.15	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,071.52 / $2,041.74	Facility		$676.08	$1,071.52	$2,041.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,584.89	Professional		$891.25	$1,096.48	$1,584.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,258.93	Facility		$912.01	$1,148.15	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $851.14 / $1,513.56	Facility		$660.69	$851.14	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,148.15 / $1,621.81	Professional		$79.43	$1,148.15	$1,621.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $10,964.78 / $13,182.57	Facility		$6,918.31	$10,964.78	$13,182.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,258.93 / $1,621.81	Professional		$1,096.48	$1,258.93	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $15,135.61	Facility		$1,995.26	$10,232.93	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,202.26 / $1,737.80	Professional		$776.25	$1,202.26	$1,737.80