Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,670.57 / $2,747.00 / $7,920.26	Facility		$1,670.57	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.76 / $970.57 / $4,353.52	Professional		$823.76	$970.57	$4,353.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,104.15 / $1,830.62 / $2,472.21	Professional		$1,104.15	$1,830.62	$2,472.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,326.42 / $1,895.67 / $2,134.34	Professional		$1,326.42	$1,895.67	$2,134.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $970.57 / $1,617.45 / $2,287.16	Facility		$970.57	$1,617.45	$2,287.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,255.10 / $1,451.99 / $2,660.90	Professional		$1,255.10	$1,451.99	$2,660.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,152.14 / $1,542.00 / $1,684.38	Facility		$1,152.14	$1,542.00	$1,684.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $970.57 / $1,803.08 / $2,149.54	Facility		$970.57	$1,803.08	$2,149.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,418.48 / $1,939.86 / $2,480.78	Professional		$1,418.48	$1,939.86	$2,480.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,264.22 / $4,264.22 / $4,264.22	Facility		$4,264.22	$4,264.22	$4,264.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,540.65 / $2,062.73 / $2,637.19	Professional		$1,540.65	$2,062.73	$2,637.19
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 $1,275.04 / $1,792.32 / $2,665.05	Professional		$1,275.04	$1,792.32	$2,665.05