Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $7,943.28 / $7,943.28	Facility		$2,041.74	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $977.24 / $2,570.40	Professional		$245.47	$977.24	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,467.37 / $4,466.84	Professional		$2,187.76	$3,467.37	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,162.28 / $3,890.45	Professional		$2,238.72	$3,162.28	$3,890.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,238.72 / $7,943.28	Facility		$1,778.28	$2,238.72	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $977.24 / $2,691.53	Professional		$245.47	$977.24	$2,691.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $1,548.82	Facility		$1,258.93	$1,412.54	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $3,162.28	Facility		$1,737.80	$2,041.74	$3,162.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,454.71 / $4,365.16	Professional		$79.43	$2,454.71	$4,365.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,548.13 / $4,786.30	Professional		$2,754.23	$3,548.13	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,162.28 / $4,365.16	Professional		$1,995.26	$3,162.28	$4,365.16