Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,900.32 / $2,747.00 / $7,920.26	Facility		$1,900.32	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $998.64 / $1,257.57 / $4,994.68	Professional		$998.64	$1,257.57	$4,994.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,298.02 / $2,109.80 / $2,854.75	Professional		$1,298.02	$2,109.80	$2,854.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,506.16 / $2,122.73 / $2,416.46	Professional		$1,506.16	$2,122.73	$2,416.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,257.57 / $1,961.18 / $2,837.89	Facility		$1,257.57	$1,961.18	$2,837.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,555.79 / $1,962.24 / $3,092.71	Professional		$1,555.79	$1,962.24	$3,092.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,452.36 / $1,834.77 / $2,063.60	Facility		$1,452.36	$1,834.77	$2,063.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,257.57 / $2,095.73 / $2,837.89	Facility		$1,257.57	$2,095.73	$2,837.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,667.11 / $2,262.00 / $2,976.70	Professional		$1,667.11	$2,262.00	$2,976.70
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 $1,778.67 / $2,339.92 / $3,082.29	Professional		$1,778.67	$2,339.92	$3,082.29
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 $1,492.92 / $2,109.60 / $3,076.80	Professional		$1,492.92	$2,109.60	$3,076.80