Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,757.82 / $2,747.00 / $7,920.26	Facility		$1,757.82	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.98 / $1,303.72 / $4,607.39	Professional		$813.98	$1,303.72	$4,607.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,224.05 / $1,952.07 / $2,635.46	Professional		$1,224.05	$1,952.07	$2,635.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,401.98 / $2,000.59 / $2,252.46	Professional		$1,401.98	$2,000.59	$2,252.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,303.72 / $1,889.89 / $2,803.00	Facility		$1,303.72	$1,889.89	$2,803.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,378.53 / $1,585.32 / $2,855.04	Professional		$1,378.53	$1,585.32	$2,855.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,251.46 / $1,694.55 / $1,795.60	Facility		$1,251.46	$1,694.55	$1,795.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,303.72 / $2,033.15 / $2,504.67	Facility		$1,303.72	$2,033.15	$2,504.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,559.82 / $2,091.65 / $2,645.37	Professional		$1,559.82	$2,091.65	$2,645.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,647.47 / $4,647.47 / $4,647.47	Facility		$4,647.47	$4,647.47	$4,647.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,635.98 / $2,198.94 / $2,811.32	Professional		$1,635.98	$2,198.94	$2,811.32
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 $1,376.95 / $1,959.16 / $2,829.97	Professional		$1,376.95	$1,959.16	$2,829.97