Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,990.18 / $2,747.00 / $7,920.26	Facility		$1,990.18	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $913.75 / $1,344.45 / $5,192.10	Professional		$913.75	$1,344.45	$5,192.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,405.15 / $2,270.79 / $3,116.33	Professional		$1,405.15	$2,270.79	$3,116.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,631.48 / $2,351.94 / $2,648.06	Professional		$1,631.48	$2,351.94	$2,648.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,143.33 / $1,978.76 / $2,890.57	Facility		$1,143.33	$1,978.76	$2,890.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,546.82 / $1,804.62 / $3,382.37	Professional		$1,546.82	$1,804.62	$3,382.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,273.94 / $1,877.34 / $2,123.23	Facility		$1,273.94	$1,877.34	$2,123.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,344.45 / $2,192.79 / $2,890.57	Facility		$1,344.45	$2,192.79	$2,890.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,756.72 / $2,420.17 / $3,116.33	Professional		$1,756.72	$2,420.17	$3,116.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,721.75 / $12,751.18	Facility		$7,382.73	$9,721.75	$12,751.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,929.96 / $2,600.16 / $3,324.28	Professional		$1,929.96	$2,600.16	$3,324.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,576.76 / $2,322.57 / $3,338.51	Professional		$1,576.76	$2,322.57	$3,338.51