Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,762.89 / $2,747.00 / $7,920.26	Facility		$1,762.89	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $887.86 / $1,147.33 / $4,637.97	Professional		$887.86	$1,147.33	$4,637.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,220.51 / $1,900.28 / $2,586.29	Professional		$1,220.51	$1,900.28	$2,586.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.15 / $2,013.30 / $2,266.77	Professional		$1,412.15	$2,013.30	$2,266.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,147.33 / $1,789.28 / $2,466.78	Facility		$1,147.33	$1,789.28	$2,466.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,340.16 / $1,576.66 / $2,809.45	Professional		$1,340.16	$1,576.66	$2,809.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,243.61 / $1,651.19 / $1,772.15	Facility		$1,243.61	$1,651.19	$1,772.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,147.33 / $1,933.70 / $2,361.21	Facility		$1,147.33	$1,933.70	$2,361.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,555.32 / $2,020.44 / $2,585.23	Professional		$1,555.32	$2,020.44	$2,585.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,503.75 / $4,503.75 / $4,503.75	Facility		$4,503.75	$4,503.75	$4,503.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,597.85 / $2,157.92 / $2,758.87	Professional		$1,597.85	$2,157.92	$2,758.87
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 $1,296.93 / $1,878.00 / $2,764.01	Professional		$1,296.93	$1,878.00	$2,764.01