Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,511.89 / $2,818.38	Facility		$1,174.90	$2,511.89	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $4,570.88	Professional		$954.99	$1,380.38	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,398.83 / $3,467.37	Professional		$1,174.90	$2,398.83	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $2,884.03	Professional		$1,621.81	$2,137.96	$2,884.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $2,691.53	Facility		$1,096.48	$1,548.82	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $3,090.30	Professional		$1,621.81	$1,905.46	$3,090.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $2,344.23	Facility		$1,584.89	$2,187.76	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $2,691.53	Facility		$1,047.13	$1,513.56	$2,691.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,187.76 / $3,090.30	Professional		$79.43	$2,187.76	$3,090.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,454.71 / $3,162.28	Professional		$2,137.96	$2,454.71	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $7,585.78 / $31,622.78	Facility		$1,174.90	$7,585.78	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,238.72 / $3,162.28	Professional		$1,318.26	$2,238.72	$3,162.28