Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,896.58 / $2,747.00 / $7,920.26	Facility		$1,896.58	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $871.86 / $1,280.89 / $4,948.28	Professional		$871.86	$1,280.89	$4,948.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,339.43 / $2,164.79 / $2,970.79	Professional		$1,339.43	$2,164.79	$2,970.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,553.67 / $2,239.10 / $2,521.00	Professional		$1,553.67	$2,239.10	$2,521.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,280.89 / $1,859.18 / $2,753.91	Facility		$1,280.89	$1,859.18	$2,753.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,492.26 / $1,719.13 / $3,222.14	Professional		$1,492.26	$1,719.13	$3,222.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,336.72 / $1,878.68 / $2,024.07	Facility		$1,336.72	$1,878.68	$2,024.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,280.89 / $2,134.60 / $2,714.78	Facility		$1,280.89	$2,134.60	$2,714.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,706.86 / $2,305.29 / $2,970.79	Professional		$1,706.86	$2,305.29	$2,970.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,137.25 / $5,137.25 / $5,137.25	Facility		$5,137.25	$5,137.25	$5,137.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,838.94 / $2,478.73 / $3,169.03	Professional		$1,838.94	$2,478.73	$3,169.03
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 $1,521.91 / $2,107.21 / $3,181.07	Professional		$1,521.91	$2,107.21	$3,181.07