Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,816.11 / $2,000.40 / $2,230.38	Facility		$1,816.11	$2,000.40	$2,230.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.63 / $999.16 / $2,864.51	Professional		$776.63	$999.16	$2,864.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,276.27 / $2,041.83 / $2,772.15	Professional		$1,276.27	$2,041.83	$2,772.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,443.94 / $2,047.49 / $2,305.27	Professional		$1,443.94	$2,047.49	$2,305.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $970.83 / $1,767.26 / $2,667.58	Facility		$970.83	$1,767.26	$2,667.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,457.07 / $1,779.70 / $2,986.60	Professional		$1,457.07	$1,779.70	$2,986.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,385.04 / $1,758.99 / $1,888.73	Facility		$1,385.04	$1,758.99	$1,888.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $970.83 / $1,989.46 / $2,407.83	Facility		$970.83	$1,989.46	$2,407.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,626.37 / $2,164.31 / $2,772.15	Professional		$1,626.37	$2,164.31	$2,772.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,830.26 / $4,830.26 / $4,830.26	Facility		$4,830.26	$4,830.26	$4,830.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,726.39 / $2,312.98 / $2,957.13	Professional		$1,726.39	$2,312.98	$2,957.13
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 $1,460.16 / $2,092.19 / $2,986.35	Professional		$1,460.16	$2,092.19	$2,986.35