Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,454.49 / $2,747.00 / $7,920.26	Facility		$1,454.49	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.05 / $986.14 / $2,438.60	Professional		$676.05	$986.14	$2,438.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $849.03 / $1,451.01 / $2,109.17	Professional		$849.03	$1,451.01	$2,109.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,434.76 / $1,680.57 / $2,016.21	Professional		$1,434.76	$1,680.57	$2,016.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $936.83 / $1,331.29 / $1,810.35	Facility		$936.83	$1,331.29	$1,810.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,155.59 / $1,323.46 / $2,041.90	Professional		$1,155.59	$1,323.46	$2,041.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $987.41 / $1,370.26 / $1,556.41	Facility		$987.41	$1,370.26	$1,556.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $930.29 / $1,387.44 / $1,971.06	Facility		$930.29	$1,387.44	$1,971.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,300.85 / $1,516.02 / $2,078.79	Professional		$1,300.85	$1,516.02	$2,078.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,846.16 / $6,142.31 / $7,227.91	Facility		$4,846.16	$6,142.31	$7,227.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,365.92 / $1,813.10 / $2,436.83	Professional		$1,365.92	$1,813.10	$2,436.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,113.00	Facility		$1,981.00	$9,074.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,012.98 / $1,483.33 / $2,268.96	Professional		$1,012.98	$1,483.33	$2,268.96