Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,717.40 / $2,747.00 / $7,920.26	Facility		$1,717.40	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $910.37 / $1,139.00 / $4,512.38	Professional		$910.37	$1,139.00	$4,512.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.14 / $1,913.95 / $2,589.23	Professional		$1,172.14	$1,913.95	$2,589.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,367.99 / $1,932.87 / $2,200.31	Professional		$1,367.99	$1,932.87	$2,200.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,776.27 / $2,564.84	Facility		$1,139.00	$1,776.27	$2,564.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,410.62 / $1,774.49 / $2,804.14	Professional		$1,410.62	$1,774.49	$2,804.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,245.97 / $1,666.45 / $1,921.00	Facility		$1,245.97	$1,666.45	$1,921.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,898.14 / $2,564.84	Facility		$1,139.00	$1,898.14	$2,564.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,518.16 / $2,044.38 / $2,691.39	Professional		$1,518.16	$2,044.38	$2,691.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,954.82 / $17,563.07 / $20,571.93	Facility		$12,954.82	$17,563.07	$20,571.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,607.08 / $2,114.17 / $2,784.94	Professional		$1,607.08	$2,114.17	$2,784.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,344.73 / $1,905.12 / $2,754.10	Professional		$1,344.73	$1,905.12	$2,754.10