Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,849.46 / $2,747.00 / $7,920.26	Facility		$1,849.46	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $845.42 / $1,371.76 / $4,842.35	Professional		$845.42	$1,371.76	$4,842.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,280.44 / $2,047.02 / $2,750.51	Professional		$1,280.44	$2,047.02	$2,750.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,477.71 / $2,109.34 / $2,374.90	Professional		$1,477.71	$2,109.34	$2,374.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,351.69 / $1,964.52 / $2,949.28	Facility		$1,351.69	$1,964.52	$2,949.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,441.77 / $1,635.00 / $3,004.64	Professional		$1,441.77	$1,635.00	$3,004.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,325.59 / $1,772.55 / $1,873.99	Facility		$1,325.59	$1,772.55	$1,873.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,371.76 / $2,139.26 / $2,621.30	Facility		$1,371.76	$2,139.26	$2,621.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,631.69 / $2,192.15 / $2,774.05	Professional		$1,631.69	$2,192.15	$2,774.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,872.89 / $4,872.89 / $4,872.89	Facility		$4,872.89	$4,872.89	$4,872.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,721.47 / $2,294.94 / $2,934.05	Professional		$1,721.47	$2,294.94	$2,934.05
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 $1,418.56 / $2,226.04 / $3,106.88	Professional		$1,418.56	$2,226.04	$3,106.88