Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,394.35 / $2,747.00 / $7,920.26	Facility		$1,394.35	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.94 / $1,034.99 / $3,655.67	Professional		$650.94	$1,034.99	$3,655.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $969.42 / $1,548.70 / $2,089.67	Professional		$969.42	$1,548.70	$2,089.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,113.42 / $1,590.18 / $1,790.38	Professional		$1,113.42	$1,590.18	$1,790.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,034.99 / $1,509.11 / $2,225.23	Facility		$1,034.99	$1,509.11	$2,225.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,091.91 / $1,317.12 / $2,266.21	Professional		$1,091.91	$1,317.12	$2,266.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.01 / $1,356.34 / $1,423.75	Facility		$1,000.01	$1,356.34	$1,423.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,034.99 / $1,614.07 / $1,983.56	Facility		$1,034.99	$1,614.07	$1,983.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,235.34 / $1,655.19 / $2,098.73	Professional		$1,235.34	$1,655.19	$2,098.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,678.59 / $3,678.59 / $3,678.59	Facility		$3,678.59	$3,678.59	$3,678.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,298.94 / $1,743.56 / $2,229.13	Professional		$1,298.94	$1,743.56	$2,229.13
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 $1,050.60 / $1,550.34 / $2,246.96	Professional		$1,050.60	$1,550.34	$2,246.96