Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.64 / $2,747.00 / $7,920.26	Facility		$1,924.64	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $979.39 / $1,252.15 / $5,026.96	Professional		$979.39	$1,252.15	$5,026.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.10 / $2,073.87 / $2,772.15	Professional		$1,318.10	$2,073.87	$2,772.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.15 / $2,156.08 / $2,427.53	Professional		$1,513.15	$2,156.08	$2,427.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,252.15 / $1,952.73 / $2,692.12	Facility		$1,252.15	$1,952.73	$2,692.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,459.26 / $1,698.45 / $3,011.01	Professional		$1,459.26	$1,698.45	$3,011.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,312.51 / $1,796.01 / $1,911.30	Facility		$1,312.51	$1,796.01	$1,911.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,252.15 / $2,086.71 / $2,566.69	Facility		$1,252.15	$2,086.71	$2,566.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,679.67 / $2,194.14 / $2,805.97	Professional		$1,679.67	$2,194.14	$2,805.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,867.53 / $4,867.53 / $4,867.53	Facility		$4,867.53	$4,867.53	$4,867.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,745.45 / $2,312.98 / $2,957.13	Professional		$1,745.45	$2,312.98	$2,957.13
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 $1,467.57 / $2,083.92 / $3,150.18	Professional		$1,467.57	$2,083.92	$3,150.18