Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,490.54 / $2,747.00 / $7,920.26	Facility		$1,490.54	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $752.93 / $1,054.40 / $3,922.65	Professional		$752.93	$1,054.40	$3,922.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,031.33 / $1,608.16 / $2,189.00	Professional		$1,031.33	$1,608.16	$2,189.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,194.36 / $1,704.30 / $1,918.87	Professional		$1,194.36	$1,704.30	$1,918.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,054.40 / $1,578.33 / $2,266.96	Facility		$1,054.40	$1,578.33	$2,266.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,097.01 / $1,332.38 / $2,375.51	Professional		$1,097.01	$1,332.38	$2,375.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,051.84 / $1,399.08 / $1,491.42	Facility		$1,051.84	$1,399.08	$1,491.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,054.40 / $1,748.13 / $2,266.96	Facility		$1,054.40	$1,748.13	$2,266.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,314.24 / $1,705.13 / $2,185.36	Professional		$1,314.24	$1,705.13	$2,185.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $11,474.33 / $13,050.49	Facility		$8,508.06	$11,474.33	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,351.22 / $1,826.43 / $2,335.07	Professional		$1,351.22	$1,826.43	$2,335.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,118.27 / $1,584.91 / $2,337.38	Professional		$1,118.27	$1,584.91	$2,337.38