Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,886.33 / $2,747.00 / $7,920.26	Facility		$1,886.33	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.37 / $1,261.41 / $4,947.83	Professional		$880.37	$1,261.41	$4,947.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.55 / $2,015.50 / $2,818.37	Professional		$1,275.55	$2,015.50	$2,818.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,496.98 / $2,129.96 / $2,424.67	Professional		$1,496.98	$2,129.96	$2,424.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,261.41 / $1,884.06 / $2,718.49	Facility		$1,261.41	$1,884.06	$2,718.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,536.58 / $1,958.49 / $3,054.53	Professional		$1,536.58	$1,958.49	$3,054.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,367.74 / $1,823.59 / $1,925.08	Facility		$1,367.74	$1,823.59	$1,925.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,261.41 / $2,066.79 / $2,712.03	Facility		$1,261.41	$2,066.79	$2,712.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,645.77 / $2,217.54 / $2,921.18	Professional		$1,645.77	$2,217.54	$2,921.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,032.58 / $5,032.58 / $5,032.58	Facility		$5,032.58	$5,032.58	$5,032.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,752.84 / $2,305.94 / $3,037.53	Professional		$1,752.84	$2,305.94	$3,037.53
United Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $30,636.00 / $55,640.00	Facility		$3,960.00	$30,636.00	$55,640.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,455.48 / $2,026.08 / $3,032.13	Professional		$1,455.48	$2,026.08	$3,032.13