Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,567.11 / $2,747.00 / $7,920.26	Facility		$1,567.11	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $723.83 / $1,163.83 / $4,092.22	Professional		$723.83	$1,163.83	$4,092.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,093.33 / $1,731.98 / $2,349.29	Professional		$1,093.33	$1,731.98	$2,349.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,252.10 / $1,789.30 / $2,014.57	Professional		$1,252.10	$1,789.30	$2,014.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,163.83 / $1,678.43 / $2,502.26	Facility		$1,163.83	$1,678.43	$2,502.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,226.55 / $1,398.54 / $2,547.38	Professional		$1,226.55	$1,398.54	$2,547.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,116.77 / $1,522.88 / $1,600.63	Facility		$1,116.77	$1,522.88	$1,600.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,163.83 / $1,815.01 / $2,216.81	Facility		$1,163.83	$1,815.01	$2,216.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,393.26 / $1,848.38 / $2,349.29	Professional		$1,393.26	$1,848.38	$2,349.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,102.74 / $4,102.74 / $4,102.74	Facility		$4,102.74	$4,102.74	$4,102.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,458.85 / $1,960.17 / $2,506.06	Professional		$1,458.85	$1,960.17	$2,506.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,220.06 / $1,700.03 / $2,523.55	Professional		$1,220.06	$1,700.03	$2,523.55