Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,239.34 / $2,747.00 / $7,920.26	Facility		$1,239.34	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $604.37 / $722.29 / $3,218.08	Professional		$604.37	$722.29	$3,218.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.89 / $1,361.00 / $1,839.90	Professional		$808.89	$1,361.00	$1,839.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $988.08 / $1,416.77 / $1,595.14	Professional		$988.08	$1,416.77	$1,595.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $722.29 / $1,203.70 / $1,670.71	Facility		$722.29	$1,203.70	$1,670.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $919.02 / $1,056.28 / $1,979.78	Professional		$919.02	$1,056.28	$1,979.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $829.46 / $1,146.46 / $1,253.57	Facility		$829.46	$1,146.46	$1,253.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $722.29 / $1,340.53 / $1,599.50	Facility		$722.29	$1,340.53	$1,599.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,057.56 / $1,442.22 / $1,842.23	Professional		$1,057.56	$1,442.22	$1,842.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,039.76 / $15,838.63 / $18,619.91	Facility		$12,039.76	$15,838.63	$18,619.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,146.41 / $1,535.16 / $1,962.68	Professional		$1,146.41	$1,535.16	$1,962.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $923.00 / $1,308.34 / $1,983.12	Professional		$923.00	$1,308.34	$1,983.12