Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,906.68 / $2,747.00 / $7,920.26	Facility		$1,906.68	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $951.96 / $1,106.11 / $4,961.67	Professional		$951.96	$1,106.11	$4,961.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,270.67 / $2,101.48 / $2,838.03	Professional		$1,270.67	$2,101.48	$2,838.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,523.21 / $2,173.86 / $2,447.55	Professional		$1,523.21	$2,173.86	$2,447.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,106.11 / $1,843.35 / $2,644.44	Facility		$1,106.11	$1,843.35	$2,644.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,449.42 / $1,698.80 / $3,057.71	Professional		$1,449.42	$1,698.80	$3,057.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,292.16 / $1,786.89 / $1,933.62	Facility		$1,292.16	$1,786.89	$1,933.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,106.11 / $2,117.02 / $2,468.75	Facility		$1,106.11	$2,117.02	$2,468.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,628.43 / $2,226.90 / $2,847.86	Professional		$1,628.43	$2,226.90	$2,847.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,769.95 / $4,769.95 / $4,769.95	Facility		$4,769.95	$4,769.95	$4,769.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,769.44 / $2,367.96 / $3,027.41	Professional		$1,769.44	$2,367.96	$3,027.41
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 $1,397.41 / $1,941.07 / $3,032.34	Professional		$1,397.41	$1,941.07	$3,032.34