Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,775.75 / $2,747.00 / $7,920.26	Facility		$1,775.75	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $895.14 / $1,155.67 / $4,670.09	Professional		$895.14	$1,155.67	$4,670.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,228.61 / $1,914.07 / $2,603.01	Professional		$1,228.61	$1,914.07	$2,603.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,421.28 / $2,026.16 / $2,281.26	Professional		$1,421.28	$2,026.16	$2,281.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,155.67 / $1,802.27 / $2,484.69	Facility		$1,155.67	$1,802.27	$2,484.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,349.65 / $1,575.60 / $2,827.46	Professional		$1,349.65	$1,575.60	$2,827.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,235.48 / $1,667.63 / $1,773.49	Facility		$1,235.48	$1,667.63	$1,773.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,155.67 / $1,938.74 / $2,376.94	Facility		$1,155.67	$1,938.74	$2,376.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,565.65 / $2,034.19 / $2,603.01	Professional		$1,565.65	$2,034.19	$2,603.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,523.28 / $4,523.28 / $4,523.28	Facility		$4,523.28	$4,523.28	$4,523.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,610.15 / $2,171.86 / $2,776.70	Professional		$1,610.15	$2,171.86	$2,776.70
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 $1,332.56 / $1,934.97 / $2,785.30	Professional		$1,332.56	$1,934.97	$2,785.30