Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $5,370.32	Facility		$1,819.70	$2,454.71	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $2,238.72	Professional		$870.96	$1,096.48	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,905.46 / $2,818.38	Professional		$1,047.13	$1,905.46	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,238.72 / $2,691.53	Professional		$1,819.70	$2,238.72	$2,691.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,258.93 / $2,398.83	Facility		$891.25	$1,258.93	$2,398.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,862.09 / $2,570.40	Professional		$1,122.02	$1,862.09	$2,570.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $1,949.84	Facility		$1,584.89	$1,905.46	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,288.25 / $2,238.72	Facility		$912.01	$1,288.25	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $2,691.53	Professional		$1,412.54	$1,995.26	$2,691.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,311.31 / $3,981.07	Facility		$2,570.40	$3,311.31	$3,981.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $2,630.27	Professional		$1,445.44	$1,905.46	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,235.94 / $4,265.80	Facility		$2,630.27	$3,235.94	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,819.70 / $2,630.27	Professional		$1,174.90	$1,819.70	$2,630.27