Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.99 / $2,747.00 / $7,920.26	Facility		$1,324.99	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.04 / $773.21 / $3,476.49	Professional		$577.04	$773.21	$3,476.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $906.78 / $1,446.39 / $1,967.74	Professional		$906.78	$1,446.39	$1,967.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,069.58 / $1,534.43 / $1,729.21	Professional		$1,069.58	$1,534.43	$1,729.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $773.21 / $1,288.55 / $1,781.78	Facility		$773.21	$1,288.55	$1,781.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $979.71 / $1,139.40 / $2,129.34	Professional		$979.71	$1,139.40	$2,129.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $879.37 / $1,216.05 / $1,340.67	Facility		$879.37	$1,216.05	$1,340.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $773.21 / $1,424.63 / $1,704.19	Facility		$773.21	$1,424.63	$1,704.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,143.45 / $1,549.60 / $1,967.74	Professional		$1,143.45	$1,549.60	$1,967.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,330.81 / $3,330.81 / $3,330.81	Facility		$3,330.81	$3,330.81	$3,330.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,221.45 / $1,641.82 / $2,099.05	Professional		$1,221.45	$1,641.82	$2,099.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $12,113.00	Facility		$1,981.00	$9,529.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,007.00 / $1,675.83 / $2,204.46	Professional		$1,007.00	$1,675.83	$2,204.46