Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,752.30 / $7,920.26 / $38,906.86	Facility		$1,752.30	$7,920.26	$38,906.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $780.94 / $922.19 / $4,131.46	Professional		$780.94	$922.19	$4,131.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,046.57 / $1,737.87 / $2,347.33	Professional		$1,046.57	$1,737.87	$2,347.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,260.27 / $1,801.98 / $2,028.85	Professional		$1,260.27	$1,801.98	$2,028.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $922.19 / $1,536.83 / $2,167.76	Facility		$922.19	$1,536.83	$2,167.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,203.67 / $1,394.90 / $2,528.29	Professional		$1,203.67	$1,394.90	$2,528.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,087.80 / $1,469.00 / $1,605.48	Facility		$1,087.80	$1,469.00	$1,605.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $922.19 / $1,711.73 / $2,041.42	Facility		$922.19	$1,711.73	$2,041.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,348.01 / $1,841.58 / $2,355.10	Professional		$1,348.01	$1,841.58	$2,355.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,939.49 / $3,939.49 / $3,939.49	Facility		$3,939.49	$3,939.49	$3,939.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,463.15 / $1,958.53 / $2,503.96	Professional		$1,463.15	$1,958.53	$2,503.96
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 $1,187.69 / $1,863.75 / $2,531.03	Professional		$1,187.69	$1,863.75	$2,531.03