Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,964.16 / $2,747.00 / $7,920.26	Facility		$1,964.16	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $987.72 / $1,277.33 / $5,167.75	Professional		$987.72	$1,277.33	$5,167.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,359.56 / $2,115.59 / $2,878.35	Professional		$1,359.56	$2,115.59	$2,878.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,570.42 / $2,237.04 / $2,518.69	Professional		$1,570.42	$2,237.04	$2,518.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,277.33 / $2,017.52 / $2,808.27	Facility		$1,277.33	$2,017.52	$2,808.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,549.89 / $1,811.04 / $3,124.53	Professional		$1,549.89	$1,811.04	$3,124.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,437.51 / $1,847.76 / $1,987.89	Facility		$1,437.51	$1,847.76	$1,987.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,277.33 / $2,208.96 / $2,746.28	Facility		$1,277.33	$2,208.96	$2,746.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,732.51 / $2,281.50 / $2,874.68	Professional		$1,732.51	$2,281.50	$2,874.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,265.02 / $5,265.02 / $5,265.02	Facility		$5,265.02	$5,265.02	$5,265.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,777.44 / $2,401.60 / $3,070.42	Professional		$1,777.44	$2,401.60	$3,070.42
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 $1,502.55 / $2,092.92 / $3,074.67	Professional		$1,502.55	$2,092.92	$3,074.67