Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,071.13 / $5,116.62 / $20,400.00	Facility		$2,071.13	$5,116.62	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $821.07 / $1,261.17 / $2,512.73	Professional		$821.07	$1,261.17	$2,512.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,292.71 / $1,976.29 / $2,823.28	Professional		$1,292.71	$1,976.29	$2,823.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,493.97 / $2,112.78 / $2,405.12	Professional		$1,493.97	$2,112.78	$2,405.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $916.23 / $1,803.47 / $2,711.52	Facility		$916.23	$1,803.47	$2,711.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,533.91 / $2,184.65 / $3,049.22	Professional		$1,533.91	$2,184.65	$3,049.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,154.14 / $1,736.16 / $1,923.57	Facility		$1,154.14	$1,736.16	$1,923.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $916.23 / $1,966.79 / $2,711.52	Facility		$916.23	$1,966.79	$2,711.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,752.50 / $2,286.94 / $2,948.89	Professional		$1,752.50	$2,286.94	$2,948.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,760.83 / $2,355.66 / $3,051.39	Professional		$1,760.83	$2,355.66	$3,051.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $8,571.00 / $36,803.00	Facility		$2,364.00	$8,571.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,480.96 / $2,140.27 / $3,017.60	Professional		$1,480.96	$2,140.27	$3,017.60