Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,605.84 / $2,747.00 / $7,920.26	Facility		$1,605.84	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $852.09 / $1,605.84 / $4,221.14	Professional		$852.09	$1,605.84	$4,221.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,095.31 / $1,790.09 / $2,421.08	Professional		$1,095.31	$1,790.09	$2,421.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,278.77 / $1,807.03 / $2,057.07	Professional		$1,278.77	$1,807.03	$2,057.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,065.18 / $1,661.15 / $2,771.25	Facility		$1,065.18	$1,661.15	$2,771.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.28 / $1,706.37 / $2,620.59	Professional		$1,318.28	$1,706.37	$2,620.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,182.85 / $1,557.78 / $1,666.00	Facility		$1,182.85	$1,557.78	$1,666.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,065.18 / $1,775.12 / $2,388.69	Facility		$1,065.18	$1,775.12	$2,388.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,408.70 / $1,911.00 / $2,516.29	Professional		$1,408.70	$1,911.00	$2,516.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,283.74 / $4,283.74 / $4,283.74	Facility		$4,283.74	$4,283.74	$4,283.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,502.52 / $1,976.63 / $2,603.75	Professional		$1,502.52	$1,976.63	$2,603.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $8,571.00 / $36,803.00	Facility		$2,364.00	$8,571.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,282.08 / $1,779.85 / $2,574.91	Professional		$1,282.08	$1,779.85	$2,574.91