Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,847.89 / $2,747.00 / $7,920.26	Facility		$1,847.89	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $936.49 / $1,203.23 / $4,870.93	Professional		$936.49	$1,203.23	$4,870.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,279.50 / $1,992.85 / $2,705.28	Professional		$1,279.50	$1,992.85	$2,705.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,476.91 / $2,106.67 / $2,371.89	Professional		$1,476.91	$2,106.67	$2,371.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,203.23 / $1,876.44 / $2,586.94	Facility		$1,203.23	$1,876.44	$2,586.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,409.73 / $1,641.25 / $2,937.80	Professional		$1,409.73	$1,641.25	$2,937.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,286.83 / $1,742.30 / $1,843.17	Facility		$1,286.83	$1,742.30	$1,843.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,203.23 / $2,023.85 / $2,485.23	Facility		$1,203.23	$2,023.85	$2,485.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,630.48 / $2,123.12 / $2,705.28	Professional		$1,630.48	$2,123.12	$2,705.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,714.93 / $4,714.93 / $4,714.93	Facility		$4,714.93	$4,714.93	$4,714.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,680.27 / $2,257.19 / $2,885.80	Professional		$1,680.27	$2,257.19	$2,885.80
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 $1,390.59 / $1,973.45 / $2,906.58	Professional		$1,390.59	$1,973.45	$2,906.58