Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $15,848.93	Facility		$1,174.90	$1,479.11	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $1,479.11	Professional		$524.81	$691.83	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,258.93 / $1,778.28	Professional		$660.69	$1,258.93	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,445.44	Professional		$831.76	$1,096.48	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $912.01 / $2,041.74	Facility		$645.65	$912.01	$2,041.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,548.82	Professional		$870.96	$1,023.29	$1,548.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,202.26	Facility		$851.14	$1,096.48	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $812.83 / $1,380.38	Facility		$616.60	$812.83	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,122.02 / $1,548.82	Professional		$79.43	$1,122.02	$1,548.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $15,848.93 / $19,054.61	Facility		$12,022.64	$15,848.93	$19,054.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $1,621.81	Professional		$1,096.48	$1,288.25	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,378.01 / $23,988.33	Facility		$2,884.03	$17,378.01	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,122.02 / $1,621.81	Professional		$707.95	$1,122.02	$1,621.81