Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,235.94 / $13,803.84	Facility		$2,511.89	$3,235.94	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $3,019.95	Professional		$1,047.13	$1,445.44	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,754.23 / $3,890.45	Professional		$1,318.26	$2,754.23	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $3,235.94	Professional		$1,949.84	$2,511.89	$3,235.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $4,265.80	Facility		$1,258.93	$1,905.46	$4,265.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $3,235.94	Professional		$1,621.81	$1,949.84	$3,235.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $2,454.71	Facility		$1,479.11	$2,089.30	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,862.09 / $2,818.38	Facility		$1,174.90	$1,862.09	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,290.87 / $3,311.31	Professional		$79.43	$2,290.87	$3,311.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $18,620.87 / $22,387.21	Facility		$13,489.63	$18,620.87	$22,387.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $3,388.44	Professional		$2,290.87	$2,691.53	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $25,703.96	Facility		$1,995.26	$10,232.93	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,187.76 / $3,311.31	Professional		$1,258.93	$2,187.76	$3,311.31