Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,910.71 / $2,747.00 / $7,920.26	Facility		$1,910.71	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $882.52 / $1,290.17 / $4,993.89	Professional		$882.52	$1,290.17	$4,993.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,356.45 / $2,179.51 / $2,990.46	Professional		$1,356.45	$2,179.51	$2,990.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,563.85 / $2,253.21 / $2,536.89	Professional		$1,563.85	$2,253.21	$2,536.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,290.17 / $1,775.32 / $2,773.87	Facility		$1,290.17	$1,775.32	$2,773.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,360.68 / $1,731.03 / $3,244.44	Professional		$1,360.68	$1,731.03	$3,244.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,150.93 / $1,674.16 / $2,037.47	Facility		$1,150.93	$1,674.16	$2,037.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,290.17 / $1,968.22 / $2,583.73	Facility		$1,290.17	$1,968.22	$2,583.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,562.88 / $2,309.58 / $2,990.46	Professional		$1,562.88	$2,309.58	$2,990.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,202.10 / $4,202.10 / $4,202.10	Facility		$4,202.10	$4,202.10	$4,202.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,851.85 / $2,495.14 / $3,190.01	Professional		$1,851.85	$2,495.14	$3,190.01
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 $1,532.59 / $2,114.34 / $3,203.39	Professional		$1,532.59	$2,114.34	$3,203.39