Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,007.36 / $2,747.00 / $7,920.26	Facility		$2,007.36	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $893.02 / $1,327.87 / $5,270.88	Professional		$893.02	$1,327.87	$5,270.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,370.74 / $2,090.44 / $3,017.01	Professional		$1,370.74	$2,090.44	$3,017.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,589.09 / $2,238.67 / $2,548.44	Professional		$1,589.09	$2,238.67	$2,548.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,327.87 / $1,898.85 / $2,998.94	Facility		$1,327.87	$1,898.85	$2,998.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,641.60 / $2,073.60 / $3,263.53	Professional		$1,641.60	$2,073.60	$3,263.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,423.18 / $1,935.79 / $2,091.07	Facility		$1,423.18	$1,935.79	$2,091.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,327.87 / $2,070.81 / $2,854.92	Facility		$1,327.87	$2,070.81	$2,854.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,760.21 / $2,389.14 / $3,143.56	Professional		$1,760.21	$2,389.14	$3,143.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,643.03 / $5,643.03 / $5,643.03	Facility		$5,643.03	$5,643.03	$5,643.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,877.07 / $2,469.37 / $3,252.82	Professional		$1,877.07	$2,469.37	$3,252.82
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 $1,575.59 / $2,230.56 / $3,247.03	Professional		$1,575.59	$2,230.56	$3,247.03