Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,879.50 / $2,747.00 / $7,920.26	Facility		$1,879.50	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $947.01 / $1,231.54 / $4,924.72	Professional		$947.01	$1,231.54	$4,924.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,295.65 / $2,103.69 / $2,852.78	Professional		$1,295.65	$2,103.69	$2,852.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,530.24 / $2,202.52 / $2,479.82	Professional		$1,530.24	$2,202.52	$2,479.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,209.89 / $1,905.71 / $2,647.81	Facility		$1,209.89	$1,905.71	$2,647.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,440.24 / $1,656.31 / $3,104.39	Professional		$1,440.24	$1,656.31	$3,104.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,313.48 / $1,759.69 / $1,943.67	Facility		$1,313.48	$1,759.69	$1,943.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,231.54 / $2,072.05 / $2,596.31	Facility		$1,231.54	$2,072.05	$2,596.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,651.07 / $2,229.23 / $2,852.78	Professional		$1,651.07	$2,229.23	$2,852.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,805.43 / $4,805.43 / $4,805.43	Facility		$4,805.43	$4,805.43	$4,805.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,766.36 / $2,380.27 / $3,043.15	Professional		$1,766.36	$2,380.27	$3,043.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $8,571.00 / $36,803.00	Facility		$2,364.00	$8,571.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,461.74 / $2,036.78 / $3,055.52	Professional		$1,461.74	$2,036.78	$3,055.52