Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,812.12 / $2,747.00 / $7,920.26	Facility		$1,812.12	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $853.37 / $1,210.95 / $4,751.67	Professional		$853.37	$1,210.95	$4,751.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,225.81 / $1,901.27 / $2,702.33	Professional		$1,225.81	$1,901.27	$2,702.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,434.15 / $2,038.99 / $2,321.12	Professional		$1,434.15	$2,038.99	$2,321.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,210.95 / $1,804.98 / $2,603.54	Facility		$1,210.95	$1,804.98	$2,603.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,472.53 / $1,907.60 / $2,927.20	Professional		$1,472.53	$1,907.60	$2,927.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,313.96 / $1,747.05 / $1,841.16	Facility		$1,313.96	$1,747.05	$1,841.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,210.95 / $2,018.05 / $2,603.54	Facility		$1,210.95	$2,018.05	$2,603.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,614.64 / $2,142.64 / $2,814.99	Professional		$1,614.64	$2,142.64	$2,814.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,837.39 / $4,837.39 / $4,837.39	Facility		$4,837.39	$4,837.39	$4,837.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,680.87 / $2,211.27 / $2,912.83	Professional		$1,680.87	$2,211.27	$2,912.83
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 $1,399.32 / $1,959.84 / $2,880.59	Professional		$1,399.32	$1,959.84	$2,880.59