Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,749.42 / $2,747.00 / $7,920.26	Facility		$1,749.42	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $868.61 / $942.95 / $4,561.72	Professional		$868.61	$942.95	$4,561.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,185.52 / $1,972.68 / $2,680.69	Professional		$1,185.52	$1,972.68	$2,680.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,403.61 / $2,006.98 / $2,259.66	Professional		$1,403.61	$2,006.98	$2,259.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $942.95 / $1,656.82 / $2,440.81	Facility		$942.95	$1,656.82	$2,440.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,405.56 / $1,539.13 / $2,884.76	Professional		$1,405.56	$1,539.13	$2,884.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,197.07 / $1,668.94 / $1,826.42	Facility		$1,197.07	$1,668.94	$1,826.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $942.95 / $1,931.18 / $2,325.44	Facility		$942.95	$1,931.18	$2,325.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,515.85 / $2,090.40 / $2,680.69	Professional		$1,515.85	$2,090.40	$2,680.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,335.18 / $4,335.18 / $4,335.18	Facility		$4,335.18	$4,335.18	$4,335.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,667.35 / $2,236.67 / $2,859.57	Professional		$1,667.35	$2,236.67	$2,859.57
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 $1,375.89 / $1,936.49 / $2,884.22	Professional		$1,375.89	$1,936.49	$2,884.22