Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $13,182.57	Facility		$1,412.54	$1,778.28	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $2,187.76	Professional		$616.60	$758.58	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,548.82 / $2,137.96	Professional		$724.44	$1,548.82	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $1,737.80	Professional		$1,000.00	$1,318.26	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,174.90 / $2,398.83	Facility		$691.83	$1,174.90	$2,398.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,819.70	Professional		$1,023.29	$1,202.26	$1,819.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,318.26 / $1,412.54	Facility		$977.24	$1,318.26	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,698.24	Facility		$724.44	$1,047.13	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,348.96 / $1,905.46	Professional		$79.43	$1,348.96	$1,905.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,232.93 / $12,302.69	Facility		$7,413.10	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $1,905.46	Professional		$1,288.25	$1,513.56	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,454.40	Facility		$1,995.26	$10,000.00	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,348.96 / $1,862.09	Professional		$870.96	$1,348.96	$1,862.09