Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,844.25 / $2,747.00 / $7,920.26	Facility		$1,844.25	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $842.38 / $993.82 / $4,810.43	Professional		$842.38	$993.82	$4,810.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,252.36 / $2,077.94 / $2,825.25	Professional		$1,252.36	$2,077.94	$2,825.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,478.73 / $2,113.88 / $2,380.02	Professional		$1,478.73	$2,113.88	$2,380.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $993.82 / $1,664.97 / $2,276.05	Facility		$993.82	$1,664.97	$2,276.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,390.80 / $1,621.20 / $3,038.59	Professional		$1,390.80	$1,621.20	$3,038.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,201.97 / $1,663.28 / $1,924.91	Facility		$1,201.97	$1,663.28	$1,924.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $993.82 / $1,861.09 / $2,453.31	Facility		$993.82	$1,861.09	$2,453.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,558.62 / $2,201.94 / $2,825.25	Professional		$1,558.62	$2,201.94	$2,825.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,762.85 / $4,762.85 / $4,762.85	Facility		$4,762.85	$4,762.85	$4,762.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,758.37 / $2,357.30 / $3,013.78	Professional		$1,758.37	$2,357.30	$3,013.78
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 $1,451.14 / $2,234.19 / $3,013.40	Professional		$1,451.14	$2,234.19	$3,013.40