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 $489.78 / $645.65 / $1,380.38	Professional		$489.78	$645.65	$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 $776.25 / $1,023.29 / $1,348.96	Professional		$776.25	$1,023.29	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $870.96 / $1,905.46	Facility		$602.56	$870.96	$1,905.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $954.99 / $1,445.44	Professional		$812.83	$954.99	$1,445.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,122.02	Facility		$851.14	$1,047.13	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $776.25 / $1,412.54	Facility		$588.84	$776.25	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,047.13 / $1,479.11	Professional		$79.43	$1,047.13	$1,479.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $15,488.17 / $19,054.61	Facility		$9,120.11	$15,488.17	$19,054.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,202.26 / $1,513.56	Professional		$1,071.52	$1,202.26	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $21,877.62	Facility		$1,995.26	$10,232.93	$21,877.62
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,047.13 / $1,513.56	Professional		$660.69	$1,047.13	$1,513.56