Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,507.95 / $2,747.00 / $7,920.26	Facility		$1,507.95	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $747.55 / $999.66 / $3,947.94	Professional		$747.55	$999.66	$3,947.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,027.55 / $1,545.97 / $2,220.46	Professional		$1,027.55	$1,545.97	$2,220.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,176.06 / $1,657.93 / $1,887.33	Professional		$1,176.06	$1,657.93	$1,887.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $718.98 / $1,429.51 / $2,149.27	Facility		$718.98	$1,429.51	$2,149.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,209.95 / $1,723.26 / $2,405.21	Professional		$1,209.95	$1,723.26	$2,405.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,051.09 / $1,432.64 / $1,530.95	Facility		$1,051.09	$1,432.64	$1,530.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $718.98 / $1,558.97 / $2,149.27	Facility		$718.98	$1,558.97	$2,149.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,319.99 / $1,795.11 / $2,327.80	Professional		$1,319.99	$1,795.11	$2,327.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,024.63 / $4,024.63 / $4,024.63	Facility		$4,024.63	$4,024.63	$4,024.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,389.96 / $1,828.57 / $2,408.71	Professional		$1,389.96	$1,828.57	$2,408.71
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 $1,150.56 / $1,655.64 / $2,382.04	Professional		$1,150.56	$1,655.64	$2,382.04