Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $13,182.57	Facility		$2,187.76	$2,818.38	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $2,630.27	Professional		$933.25	$1,258.93	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,398.83 / $3,388.44	Professional		$1,148.15	$2,398.83	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $2,884.03	Professional		$1,737.80	$2,238.72	$2,884.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $3,715.35	Facility		$1,071.52	$1,698.24	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $2,818.38	Professional		$1,412.54	$1,659.59	$2,818.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $2,187.76	Facility		$1,318.26	$1,862.09	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,621.81 / $2,630.27	Facility		$954.99	$1,621.81	$2,630.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,995.26 / $2,951.21	Professional		$79.43	$1,995.26	$2,951.21
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 $1,995.26 / $2,398.83 / $2,951.21	Professional		$1,995.26	$2,398.83	$2,951.21
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 $1,096.48 / $1,905.46 / $2,884.03	Professional		$1,096.48	$1,905.46	$2,884.03