Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,851.51 / $2,747.00 / $7,920.26	Facility		$1,851.51	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $932.35 / $1,204.60 / $4,870.93	Professional		$932.35	$1,204.60	$4,870.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,281.07 / $1,995.14 / $2,715.11	Professional		$1,281.07	$1,995.14	$2,715.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,481.79 / $2,111.76 / $2,377.63	Professional		$1,481.79	$2,111.76	$2,377.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,204.60 / $1,878.59 / $2,589.91	Facility		$1,204.60	$1,878.59	$2,589.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,363.23 / $1,656.64 / $2,948.42	Professional		$1,363.23	$1,656.64	$2,948.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,292.65 / $1,740.34 / $1,849.87	Facility		$1,292.65	$1,740.34	$1,849.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,204.60 / $2,026.18 / $2,481.53	Facility		$1,204.60	$2,026.18	$2,481.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,632.48 / $2,129.59 / $2,711.55	Professional		$1,632.48	$2,129.59	$2,711.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,752.20 / $4,752.20 / $4,752.20	Facility		$4,752.20	$4,752.20	$4,752.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,677.19 / $2,265.40 / $2,896.29	Professional		$1,677.19	$2,265.40	$2,896.29
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 $1,416.16 / $1,973.27 / $2,901.24	Professional		$1,416.16	$1,973.27	$2,901.24