Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,650.77 / $2,747.00 / $7,920.26	Facility		$1,650.77	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $914.06 / $1,151.01 / $4,496.89	Professional		$914.06	$1,151.01	$4,496.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,150.77 / $1,676.04 / $2,395.63	Professional		$1,150.77	$1,676.04	$2,395.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,195.80 / $1,686.43 / $1,919.78	Professional		$1,195.80	$1,686.43	$1,919.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,151.01 / $1,645.94 / $2,571.32	Facility		$1,151.01	$1,645.94	$2,571.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,234.48 / $1,631.01 / $2,454.00	Professional		$1,234.48	$1,631.01	$2,454.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,267.65 / $1,518.29 / $1,865.28	Facility		$1,267.65	$1,518.29	$1,865.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,151.01 / $1,918.16 / $2,571.32	Facility		$1,151.01	$1,918.16	$2,571.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,419.55 / $1,808.30 / $2,397.23	Professional		$1,419.55	$1,808.30	$2,397.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,905.09 / $4,527.53 / $6,342.83	Facility		$1,905.09	$4,527.53	$6,342.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,410.88 / $1,856.08 / $2,444.94	Professional		$1,410.88	$1,856.08	$2,444.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,322.36 / $1,885.76 / $2,440.77	Professional		$1,322.36	$1,885.76	$2,440.77