Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.33 / $2,747.00 / $7,920.26	Facility		$1,698.33	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $822.98 / $860.13 / $4,454.35	Professional		$822.98	$860.13	$4,454.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,186.42 / $1,885.09 / $2,537.12	Professional		$1,186.42	$1,885.09	$2,537.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,346.75 / $1,915.64 / $2,156.82	Professional		$1,346.75	$1,915.64	$2,156.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $860.13 / $1,694.99 / $2,445.44	Facility		$860.13	$1,694.99	$2,445.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,335.18 / $1,563.02 / $2,747.89	Professional		$1,335.18	$1,563.02	$2,747.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,223.35 / $1,640.59 / $1,728.60	Facility		$1,223.35	$1,640.59	$1,728.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $860.13 / $1,849.28 / $2,201.88	Facility		$860.13	$1,849.28	$2,201.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,511.87 / $2,013.22 / $2,552.40	Professional		$1,511.87	$2,013.22	$2,552.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,544.59 / $4,544.59 / $4,544.59	Facility		$4,544.59	$4,544.59	$4,544.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,578.17 / $2,116.89 / $2,706.42	Professional		$1,578.17	$2,116.89	$2,706.42
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 $1,310.92 / $1,903.55 / $2,729.98	Professional		$1,310.92	$1,903.55	$2,729.98