Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,790.36 / $2,747.00 / $7,920.26	Facility		$1,790.36	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $820.96 / $1,211.55 / $4,668.80	Professional		$820.96	$1,211.55	$4,668.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,261.64 / $2,042.61 / $2,806.56	Professional		$1,261.64	$2,042.61	$2,806.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,472.34 / $2,126.08 / $2,393.75	Professional		$1,472.34	$2,126.08	$2,393.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,186.64 / $1,732.52 / $2,604.83	Facility		$1,186.64	$1,732.52	$2,604.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,393.49 / $1,625.73 / $3,047.09	Professional		$1,393.49	$1,625.73	$3,047.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,072.54 / $1,646.82 / $1,912.18	Facility		$1,072.54	$1,646.82	$1,912.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,211.55 / $1,853.05 / $2,557.42	Facility		$1,211.55	$1,853.05	$2,557.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,574.18 / $2,164.50 / $2,806.56	Professional		$1,574.18	$2,164.50	$2,806.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,587.16 / $4,587.16 / $4,587.16	Facility		$4,587.16	$4,587.16	$4,587.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,735.61 / $2,341.71 / $2,993.85	Professional		$1,735.61	$2,341.71	$2,993.85
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 $1,122.75 / $1,982.47 / $3,002.33	Professional		$1,122.75	$1,982.47	$3,002.33