Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.36 / $2,747.00 / $7,920.26	Facility		$1,758.36	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $957.01 / $1,162.80 / $4,617.31	Professional		$957.01	$1,162.80	$4,617.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,201.90 / $1,947.16 / $2,638.41	Professional		$1,201.90	$1,947.16	$2,638.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,390.10 / $1,957.70 / $2,228.58	Professional		$1,390.10	$1,957.70	$2,228.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,162.80 / $1,805.73 / $2,765.69	Facility		$1,162.80	$1,805.73	$2,765.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,436.23 / $1,863.55 / $2,855.04	Professional		$1,436.23	$1,863.55	$2,855.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,373.07 / $1,693.38 / $1,898.78	Facility		$1,373.07	$1,693.38	$1,898.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,162.80 / $1,946.13 / $2,500.02	Facility		$1,162.80	$1,946.13	$2,500.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,550.34 / $2,091.17 / $2,751.13	Professional		$1,550.34	$2,091.17	$2,751.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,094.68 / $5,094.68 / $5,094.68	Facility		$5,094.68	$5,094.68	$5,094.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,642.75 / $2,161.11 / $2,846.75	Professional		$1,642.75	$2,161.11	$2,846.75
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 $1,407.68 / $2,167.30 / $2,841.68	Professional		$1,407.68	$2,167.30	$2,841.68