Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,663.89 / $2,747.00 / $7,920.26	Facility		$1,663.89	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.38 / $897.67 / $4,338.47	Professional		$823.38	$897.67	$4,338.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,125.76 / $1,876.25 / $2,551.87	Professional		$1,125.76	$1,876.25	$2,551.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,336.99 / $1,913.45 / $2,154.35	Professional		$1,336.99	$1,913.45	$2,154.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $897.67 / $1,568.99 / $2,336.21	Facility		$897.67	$1,568.99	$2,336.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,285.71 / $1,465.86 / $2,745.79	Professional		$1,285.71	$1,465.86	$2,745.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.42 / $1,534.96 / $1,738.65	Facility		$1,096.42	$1,534.96	$1,738.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $897.67 / $1,848.03 / $2,213.90	Facility		$897.67	$1,848.03	$2,213.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,444.00 / $1,988.22 / $2,551.87	Professional		$1,444.00	$1,988.22	$2,551.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,224.37 / $15,008.49 / $18,619.91	Facility		$9,224.37	$15,008.49	$18,619.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,586.16 / $2,129.19 / $2,722.16	Professional		$1,586.16	$2,129.19	$2,722.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,306.98 / $1,838.44 / $2,743.79	Professional		$1,306.98	$1,838.44	$2,743.79