Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,026.87 / $12,274.80 / $21,735.00	Facility		$2,026.87	$12,274.80	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $908.51 / $1,067.34 / $4,797.72	Professional		$908.51	$1,067.34	$4,797.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,218.82 / $2,013.16 / $2,719.04	Professional		$1,218.82	$2,013.16	$2,719.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,458.50 / $2,082.71 / $2,344.92	Professional		$1,458.50	$2,082.71	$2,344.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,067.34 / $1,778.74 / $2,529.66	Facility		$1,067.34	$1,778.74	$2,529.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,387.71 / $1,580.70 / $2,927.20	Professional		$1,387.71	$1,580.70	$2,927.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,239.34 / $1,696.24 / $1,852.55	Facility		$1,239.34	$1,696.24	$1,852.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,067.34 / $1,982.88 / $2,361.48	Facility		$1,067.34	$1,982.88	$2,361.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,559.48 / $2,133.30 / $2,728.16	Professional		$1,559.48	$2,133.30	$2,728.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,553.46 / $4,553.46 / $4,553.46	Facility		$4,553.46	$4,553.46	$4,553.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,692.56 / $2,268.67 / $2,900.49	Professional		$1,692.56	$2,268.67	$2,900.49
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 $1,400.77 / $1,960.03 / $2,927.86	Professional		$1,400.77	$1,960.03	$2,927.86