Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,881.65 / $4,704.00 / $8,728.00	Facility		$1,881.65	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.97 / $1,255.44 / $4,438.97	Professional		$733.97	$1,255.44	$4,438.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.85 / $1,887.62 / $2,488.92	Professional		$1,172.85	$1,887.62	$2,488.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,342.47 / $1,933.21 / $2,194.78	Professional		$1,342.47	$1,933.21	$2,194.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,150.92 / $1,821.20 / $2,699.20	Facility		$1,150.92	$1,821.20	$2,699.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,339.26 / $1,457.25 / $2,667.26	Professional		$1,339.26	$1,457.25	$2,667.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,193.81 / $1,609.34 / $1,708.16	Facility		$1,193.81	$1,609.34	$1,708.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,255.44 / $2,074.17 / $2,916.13	Facility		$1,255.44	$2,074.17	$2,916.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,494.60 / $1,992.15 / $2,505.71	Professional		$1,494.60	$1,992.15	$2,505.71
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 $1,559.10 / $2,076.69 / $2,655.02	Professional		$1,559.10	$2,076.69	$2,655.02
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 $1,289.81 / $1,787.04 / $2,671.89	Professional		$1,289.81	$1,787.04	$2,671.89