Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $13,182.57	Facility		$1,348.96	$1,737.80	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $1,659.59	Professional		$588.84	$741.31	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,479.11 / $2,089.30	Professional		$707.95	$1,479.11	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,659.59	Professional		$954.99	$1,258.93	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,148.15 / $2,344.23	Facility		$676.08	$1,148.15	$2,344.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,737.80	Professional		$977.24	$1,202.26	$1,737.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,348.96	Facility		$977.24	$1,288.25	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,000.00 / $1,698.24	Facility		$691.83	$1,000.00	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,288.25 / $1,862.09	Professional		$79.43	$1,288.25	$1,862.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,786.30 / $5,754.40	Facility		$3,548.13	$4,786.30	$5,754.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,445.44 / $1,819.70	Professional		$1,258.93	$1,445.44	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10
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