Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,897.86 / $2,747.00 / $7,920.26	Facility		$1,897.86	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $955.21 / $1,234.29 / $4,995.04	Professional		$955.21	$1,234.29	$4,995.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,313.67 / $2,044.29 / $2,781.98	Professional		$1,313.67	$2,044.29	$2,781.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,518.30 / $2,162.88 / $2,435.19	Professional		$1,518.30	$2,162.88	$2,435.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,234.29 / $1,924.88 / $2,653.72	Facility		$1,234.29	$1,924.88	$2,653.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,397.40 / $1,699.42 / $3,021.63	Professional		$1,397.40	$1,699.42	$3,021.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,337.21 / $1,784.88 / $1,895.43	Facility		$1,337.21	$1,784.88	$1,895.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,234.29 / $2,076.96 / $2,541.69	Facility		$1,234.29	$2,076.96	$2,541.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,674.03 / $2,175.67 / $2,779.19	Professional		$1,674.03	$2,175.67	$2,779.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,842.70 / $4,842.70 / $4,842.70	Facility		$4,842.70	$4,842.70	$4,842.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,718.40 / $2,321.19 / $2,967.62	Professional		$1,718.40	$2,321.19	$2,967.62
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 $1,425.33 / $2,071.01 / $2,972.54	Professional		$1,425.33	$2,071.01	$2,972.54