Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,961.93 / $2,747.00 / $7,920.26	Facility		$1,961.93	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $963.06 / $1,314.02 / $5,137.82	Professional		$963.06	$1,314.02	$5,137.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,326.57 / $2,074.78 / $2,937.35	Professional		$1,326.57	$2,074.78	$2,937.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,561.68 / $2,225.77 / $2,533.73	Professional		$1,561.68	$2,225.77	$2,533.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,314.02 / $1,946.39 / $2,825.14	Facility		$1,314.02	$1,946.39	$2,825.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,552.64 / $1,936.83 / $3,182.91	Professional		$1,552.64	$1,936.83	$3,182.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,400.69 / $1,881.75 / $2,001.29	Facility		$1,400.69	$1,881.75	$2,001.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,314.02 / $2,111.61 / $2,800.87	Facility		$1,314.02	$2,111.61	$2,800.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,713.07 / $2,307.23 / $3,039.35	Professional		$1,713.07	$2,307.23	$3,039.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,146.12 / $5,146.12 / $5,146.12	Facility		$5,146.12	$5,146.12	$5,146.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,823.56 / $2,398.98 / $3,160.10	Professional		$1,823.56	$2,398.98	$3,160.10
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 $1,479.51 / $2,000.99 / $3,125.13	Professional		$1,479.51	$2,000.99	$3,125.13