Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,611.23 / $2,747.00 / $7,920.26	Facility		$1,611.23	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $802.30 / $1,067.68 / $4,225.03	Professional		$802.30	$1,067.68	$4,225.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.08 / $1,754.16 / $2,366.98	Professional		$1,096.08	$1,754.16	$2,366.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,252.81 / $1,765.32 / $2,009.58	Professional		$1,252.81	$1,765.32	$2,009.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,067.68 / $1,578.03 / $2,338.98	Facility		$1,067.68	$1,578.03	$2,338.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.93 / $1,661.52 / $2,562.23	Professional		$1,288.93	$1,661.52	$2,562.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,170.07 / $1,526.14 / $1,632.79	Facility		$1,170.07	$1,526.14	$1,632.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,067.68 / $1,776.23 / $2,295.51	Facility		$1,067.68	$1,776.23	$2,295.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,407.56 / $1,893.06 / $2,483.33	Professional		$1,407.56	$1,893.06	$2,483.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,308.57 / $4,308.57 / $4,308.57	Facility		$4,308.57	$4,308.57	$4,308.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,482.84 / $1,950.74 / $2,569.64	Professional		$1,482.84	$1,950.74	$2,569.64
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 $1,256.31 / $1,758.25 / $2,565.06	Professional		$1,256.31	$1,758.25	$2,565.06