Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,222.56 / $2,747.00 / $7,920.26	Facility		$2,222.56	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $979.57 / $1,649.71 / $4,327.64	Professional		$979.57	$1,649.71	$4,327.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,547.89 / $2,468.79 / $3,332.67	Professional		$1,547.89	$2,468.79	$3,332.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,775.43 / $2,535.64 / $2,854.88	Professional		$1,775.43	$2,535.64	$2,854.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,519.60 / $2,370.38 / $3,546.88	Facility		$1,519.60	$2,370.38	$3,546.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,731.45 / $1,974.60 / $3,613.64	Professional		$1,731.45	$1,974.60	$3,613.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,550.23 / $2,162.80 / $2,270.63	Facility		$1,550.23	$2,162.80	$2,270.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,649.71 / $2,572.71 / $3,169.25	Facility		$1,649.71	$2,572.71	$3,169.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,972.50 / $2,644.17 / $3,345.62	Professional		$1,972.50	$2,644.17	$3,345.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,850.65 / $5,850.65 / $5,850.65	Facility		$5,850.65	$5,850.65	$5,850.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,069.58 / $2,780.67 / $3,555.06	Professional		$2,069.58	$2,780.67	$3,555.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $8,571.00 / $36,803.00	Facility		$2,364.00	$8,571.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,705.08 / $2,527.77 / $3,580.01	Professional		$1,705.08	$2,527.77	$3,580.01