Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $4,367.05 / $9,030.96	Facility		$1,486.00	$4,367.05	$9,030.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.12 / $932.58 / $2,337.48	Professional		$730.12	$932.58	$2,337.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,200.63 / $1,814.42 / $2,736.09	Professional		$1,200.63	$1,814.42	$2,736.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,370.13 / $1,917.28 / $2,359.71	Professional		$1,370.13	$1,917.28	$2,359.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,032.29 / $1,415.73 / $2,435.21	Facility		$1,032.29	$1,415.73	$2,435.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,365.24 / $1,662.31 / $2,713.94	Professional		$1,365.24	$1,662.31	$2,713.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,160.57 / $1,757.75 / $2,016.70	Facility		$1,160.57	$1,757.75	$2,016.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.41 / $1,566.55 / $3,274.00	Facility		$1,047.41	$1,566.55	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,515.03 / $1,877.76 / $2,586.33	Professional		$1,515.03	$1,877.76	$2,586.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,048.47	Facility		$4,573.85	$5,897.44	$7,048.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,625.62 / $2,079.96 / $2,893.17	Professional		$1,625.62	$2,079.96	$2,893.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,312.55 / $1,898.61 / $2,945.75	Professional		$1,312.55	$1,898.61	$2,945.75