Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,573.97 / $2,747.00 / $7,920.26	Facility		$1,573.97	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $784.93 / $1,052.25 / $4,122.29	Professional		$784.93	$1,052.25	$4,122.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,062.29 / $1,684.81 / $2,357.16	Professional		$1,062.29	$1,684.81	$2,357.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,251.55 / $1,780.65 / $2,027.04	Professional		$1,251.55	$1,780.65	$2,027.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,052.25 / $1,587.97 / $2,262.34	Facility		$1,052.25	$1,587.97	$2,262.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,284.66 / $1,672.98 / $2,553.73	Professional		$1,284.66	$1,672.98	$2,553.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,130.82 / $1,524.62 / $1,605.99	Facility		$1,130.82	$1,524.62	$1,605.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,052.25 / $1,738.65 / $2,262.34	Facility		$1,052.25	$1,738.65	$2,262.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,370.43 / $1,853.28 / $2,441.34	Professional		$1,370.43	$1,853.28	$2,441.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,157.71 / $4,157.71 / $4,157.71	Facility		$4,157.71	$4,157.71	$4,157.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,465.00 / $1,927.28 / $2,538.73	Professional		$1,465.00	$1,927.28	$2,538.73
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 $1,212.64 / $1,633.11 / $2,510.62	Professional		$1,212.64	$1,633.11	$2,510.62