Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,797.98 / $2,747.00 / $7,920.26	Facility		$1,797.98	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $905.64 / $1,169.99 / $4,729.56	Professional		$905.64	$1,169.99	$4,729.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,244.26 / $1,937.79 / $2,637.42	Professional		$1,244.26	$1,937.79	$2,637.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,438.78 / $2,050.92 / $2,309.14	Professional		$1,438.78	$2,050.92	$2,309.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,169.99 / $1,824.60 / $2,515.48	Facility		$1,169.99	$1,824.60	$2,515.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,367.04 / $1,595.10 / $2,862.49	Professional		$1,367.04	$1,595.10	$2,862.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,257.28 / $1,687.94 / $1,796.94	Facility		$1,257.28	$1,687.94	$1,796.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,169.99 / $1,990.18 / $2,406.56	Facility		$1,169.99	$1,990.18	$2,406.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,585.58 / $2,059.25 / $2,634.96	Professional		$1,585.58	$2,059.25	$2,634.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,581.85 / $4,581.85 / $4,581.85	Facility		$4,581.85	$4,581.85	$4,581.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,629.21 / $2,200.58 / $2,813.42	Professional		$1,629.21	$2,200.58	$2,813.42
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 $1,348.88 / $1,915.66 / $2,818.26	Professional		$1,348.88	$1,915.66	$2,818.26