Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.67 / $2,747.00 / $7,920.26	Facility		$1,791.67	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $826.58 / $1,328.50 / $4,670.89	Professional		$826.58	$1,328.50	$4,670.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,239.00 / $1,993.29 / $2,683.64	Professional		$1,239.00	$1,993.29	$2,683.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,428.74 / $2,038.36 / $2,294.98	Professional		$1,428.74	$2,038.36	$2,294.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,328.50 / $1,919.89 / $2,856.28	Facility		$1,328.50	$1,919.89	$2,856.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,454.72 / $1,605.12 / $2,910.21	Professional		$1,454.72	$1,605.12	$2,910.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,281.02 / $1,716.10 / $1,828.43	Facility		$1,281.02	$1,716.10	$1,828.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,328.50 / $2,071.80 / $2,563.91	Facility		$1,328.50	$2,071.80	$2,563.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,578.87 / $2,112.23 / $2,697.63	Professional		$1,578.87	$2,112.23	$2,697.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,690.10 / $4,690.10 / $4,690.10	Facility		$4,690.10	$4,690.10	$4,690.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,667.96 / $2,239.14 / $2,862.72	Professional		$1,667.96	$2,239.14	$2,862.72
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 $1,396.02 / $1,991.21 / $2,885.29	Professional		$1,396.02	$1,991.21	$2,885.29