Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,639.67 / $2,747.00 / $7,920.26	Facility		$1,639.67	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $816.87 / $1,100.21 / $4,297.29	Professional		$816.87	$1,100.21	$4,297.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,103.90 / $1,746.86 / $2,447.63	Professional		$1,103.90	$1,746.86	$2,447.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,309.16 / $1,869.68 / $2,128.39	Professional		$1,309.16	$1,869.68	$2,128.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,100.21 / $1,644.55 / $2,365.44	Facility		$1,100.21	$1,644.55	$2,365.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,336.43 / $1,578.78 / $2,656.67	Professional		$1,336.43	$1,578.78	$2,656.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,175.40 / $1,594.78 / $1,667.63	Facility		$1,175.40	$1,594.78	$1,667.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,100.21 / $1,786.06 / $2,264.94	Facility		$1,100.21	$1,786.06	$2,264.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,426.86 / $1,932.84 / $2,546.15	Professional		$1,426.86	$1,932.84	$2,546.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,336.97 / $4,336.97 / $4,336.97	Facility		$4,336.97	$4,336.97	$4,336.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,524.66 / $2,005.76 / $2,642.12	Professional		$1,524.66	$2,005.76	$2,642.12
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 $1,257.89 / $1,758.97 / $2,637.39	Professional		$1,257.89	$1,758.97	$2,637.39