Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,818.68 / $2,747.00 / $7,920.26	Facility		$1,818.68	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $955.88 / $1,203.18 / $4,773.78	Professional		$955.88	$1,203.18	$4,773.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,241.32 / $2,015.80 / $2,729.86	Professional		$1,241.32	$2,015.80	$2,729.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,438.13 / $2,026.12 / $2,306.46	Professional		$1,438.13	$2,026.12	$2,306.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,203.18 / $1,876.36 / $2,712.93	Facility		$1,203.18	$1,876.36	$2,712.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,485.33 / $1,922.54 / $2,952.66	Professional		$1,485.33	$1,922.54	$2,952.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,334.31 / $1,751.90 / $1,887.39	Facility		$1,334.31	$1,751.90	$1,887.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,203.18 / $2,005.10 / $2,586.84	Facility		$1,203.18	$2,005.10	$2,586.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,593.96 / $2,164.50 / $2,846.92	Professional		$1,593.96	$2,164.50	$2,846.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,043.22 / $5,043.22 / $5,043.22	Facility		$5,043.22	$5,043.22	$5,043.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,699.94 / $2,236.35 / $2,945.87	Professional		$1,699.94	$2,236.35	$2,945.87
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 $1,427.40 / $2,129.53 / $3,068.03	Professional		$1,427.40	$2,129.53	$3,068.03