Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,922.43 / $2,747.00 / $7,920.26	Facility		$1,922.43	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $943.19 / $1,284.07 / $5,039.01	Professional		$943.19	$1,284.07	$5,039.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,299.55 / $2,022.07 / $2,867.53	Professional		$1,299.55	$2,022.07	$2,867.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,521.17 / $2,161.69 / $2,460.79	Professional		$1,521.17	$2,161.69	$2,460.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,284.07 / $1,913.28 / $2,760.75	Facility		$1,284.07	$1,913.28	$2,760.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,562.73 / $1,926.48 / $3,106.52	Professional		$1,562.73	$1,926.48	$3,106.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,394.39 / $1,786.89 / $1,969.28	Facility		$1,394.39	$1,786.89	$1,969.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,284.07 / $2,072.86 / $2,568.54	Facility		$1,284.07	$2,072.86	$2,568.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,675.63 / $2,258.88 / $2,975.64	Professional		$1,675.63	$2,258.88	$2,975.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,130.16 / $5,130.16 / $5,130.16	Facility		$5,130.16	$5,130.16	$5,130.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,783.59 / $2,346.39 / $3,090.82	Professional		$1,783.59	$2,346.39	$3,090.82
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 $1,484.60 / $2,183.03 / $3,208.85	Professional		$1,484.60	$2,183.03	$3,208.85