Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,903.01 / $3,877.00 / $7,920.26	Facility		$1,903.01	$3,877.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $874.40 / $1,163.38 / $4,555.16	Professional		$874.40	$1,163.38	$4,555.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,171.45 / $1,884.83 / $2,587.27	Professional		$1,171.45	$1,884.83	$2,587.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,382.68 / $1,971.19 / $2,243.94	Professional		$1,382.68	$1,971.19	$2,243.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,163.38 / $1,740.21 / $2,501.27	Facility		$1,163.38	$1,740.21	$2,501.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,413.29 / $1,731.21 / $2,809.45	Professional		$1,413.29	$1,731.21	$2,809.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,256.79 / $1,684.37 / $1,767.99	Facility		$1,256.79	$1,684.37	$1,767.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,163.38 / $1,912.71 / $2,449.14	Facility		$1,163.38	$1,912.71	$2,449.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,512.89 / $2,044.38 / $2,693.08	Professional		$1,512.89	$2,044.38	$2,693.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,590.72 / $4,590.72 / $4,590.72	Facility		$4,590.72	$4,590.72	$4,590.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,612.00 / $2,120.65 / $2,793.46	Professional		$1,612.00	$2,120.65	$2,793.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $10,234.00 / $36,803.00	Facility		$2,446.00	$10,234.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,336.40 / $1,872.72 / $2,788.47	Professional		$1,336.40	$1,872.72	$2,788.47