Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,890.12 / $2,747.00 / $7,920.26	Facility		$1,890.12	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $951.44 / $1,229.54 / $4,975.67	Professional		$951.44	$1,229.54	$4,975.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,695.80 / $3,695.80 / $4,427.99	Professional		$3,695.80	$3,695.80	$4,427.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,512.60 / $2,155.32 / $2,426.67	Professional		$1,512.60	$2,155.32	$2,426.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,229.54 / $1,917.47 / $2,643.51	Facility		$1,229.54	$1,917.47	$2,643.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,391.79 / $1,680.25 / $3,009.96	Professional		$1,391.79	$1,680.25	$3,009.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,331.33 / $1,777.67 / $1,888.06	Facility		$1,331.33	$1,777.67	$1,888.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,229.54 / $2,068.98 / $2,531.52	Facility		$1,229.54	$2,068.98	$2,531.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,718.52 / $2,204.08 / $2,757.69	Professional		$1,718.52	$2,204.08	$2,757.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,821.39 / $4,821.39 / $4,821.39	Facility		$4,821.39	$4,821.39	$4,821.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,711.62 / $2,312.17 / $2,956.08	Professional		$1,711.62	$2,312.17	$2,956.08
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 $1,419.61 / $2,016.12 / $2,960.83	Professional		$1,419.61	$2,016.12	$2,960.83