Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,658.19 / $2,747.00 / $7,920.26	Facility		$1,658.19	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.08 / $938.62 / $2,444.17	Professional		$713.08	$938.62	$2,444.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $853.04 / $1,602.32 / $2,331.54	Professional		$853.04	$1,602.32	$2,331.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,343.32 / $1,763.90 / $2,163.52	Professional		$1,343.32	$1,763.90	$2,163.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $926.07 / $1,514.04 / $2,297.34	Facility		$926.07	$1,514.04	$2,297.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,261.20 / $1,495.00 / $2,518.67	Professional		$1,261.20	$1,495.00	$2,518.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,033.89 / $1,608.03 / $1,717.88	Facility		$1,033.89	$1,608.03	$1,717.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $1,691.41 / $2,297.34	Facility		$969.00	$1,691.41	$2,297.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,408.64 / $1,839.75 / $2,366.09	Professional		$1,408.64	$1,839.75	$2,366.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,317.43 / $4,317.43 / $4,317.43	Facility		$4,317.43	$4,317.43	$4,317.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,567.10 / $1,990.95 / $2,414.23	Professional		$1,567.10	$1,990.95	$2,414.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,227.50 / $1,701.01 / $2,659.43	Professional		$1,227.50	$1,701.01	$2,659.43