Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,541.74 / $2,747.00 / $7,920.26	Facility		$1,541.74	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.13 / $1,003.97 / $4,057.50	Professional		$776.13	$1,003.97	$4,057.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,081.66 / $1,662.82 / $2,261.77	Professional		$1,081.66	$1,662.82	$2,261.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,234.84 / $1,761.49 / $1,983.26	Professional		$1,234.84	$1,761.49	$1,983.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,003.97 / $1,565.69 / $2,158.54	Facility		$1,003.97	$1,565.69	$2,158.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,172.05 / $1,378.88 / $2,456.13	Professional		$1,172.05	$1,378.88	$2,456.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,115.32 / $1,471.79 / $1,542.34	Facility		$1,115.32	$1,471.79	$1,542.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,003.97 / $1,708.79 / $2,118.69	Facility		$1,003.97	$1,708.79	$2,118.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,361.57 / $1,796.80 / $2,259.96	Professional		$1,361.57	$1,796.80	$2,259.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,063.69 / $4,063.69 / $4,063.69	Facility		$4,063.69	$4,063.69	$4,063.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,397.35 / $1,887.15 / $2,412.69	Professional		$1,397.35	$1,887.15	$2,412.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $11,770.00 / $26,404.00	Facility		$2,155.00	$11,770.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,178.72 / $1,690.87 / $2,417.19	Professional		$1,178.72	$1,690.87	$2,417.19