Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,937.50 / $2,747.00 / $7,920.26	Facility		$1,937.50	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $953.68 / $1,296.58 / $5,073.42	Professional		$953.68	$1,296.58	$5,073.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,305.81 / $2,038.53 / $2,881.30	Professional		$1,305.81	$2,038.53	$2,881.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,537.68 / $2,189.89 / $2,492.90	Professional		$1,537.68	$2,189.89	$2,492.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,296.58 / $1,928.99 / $2,787.67	Facility		$1,296.58	$1,928.99	$2,787.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,572.33 / $1,939.59 / $3,125.61	Professional		$1,572.33	$1,939.59	$3,125.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.73 / $1,751.72 / $1,963.10	Facility		$1,258.73	$1,751.72	$1,963.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,296.58 / $2,091.52 / $2,574.09	Facility		$1,296.58	$2,091.52	$2,574.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,685.47 / $2,263.35 / $3,005.44	Professional		$1,685.47	$2,263.35	$3,005.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,128.38 / $5,128.38 / $5,128.38	Facility		$5,128.38	$5,128.38	$5,128.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,796.51 / $2,363.38 / $3,113.20	Professional		$1,796.51	$2,363.38	$3,113.20
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 $1,490.32 / $2,006.21 / $3,078.75	Professional		$1,490.32	$2,006.21	$3,078.75