Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,466.97 / $2,747.00 / $7,920.26	Facility		$1,466.97	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $773.32 / $957.05 / $3,838.58	Professional		$773.32	$957.05	$3,838.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,008.73 / $1,585.11 / $2,075.91	Professional		$1,008.73	$1,585.11	$2,075.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,133.02 / $1,618.70 / $1,822.50	Professional		$1,133.02	$1,618.70	$1,822.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $957.05 / $1,492.52 / $2,057.66	Facility		$957.05	$1,492.52	$2,057.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,098.03 / $1,280.95 / $2,252.44	Professional		$1,098.03	$1,280.95	$2,252.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,033.53 / $1,370.20 / $1,431.79	Facility		$1,033.53	$1,370.20	$1,431.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $957.05 / $1,594.92 / $1,989.11	Facility		$957.05	$1,594.92	$1,989.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,258.61 / $1,650.40 / $2,075.91	Professional		$1,258.61	$1,650.40	$2,075.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,777.96 / $3,777.96 / $3,777.96	Facility		$3,777.96	$3,777.96	$3,777.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,362.91 / $1,732.08 / $2,214.44	Professional		$1,362.91	$1,732.08	$2,214.44
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 $1,104.48 / $1,733.18 / $2,459.76	Professional		$1,104.48	$1,733.18	$2,459.76