Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,467.37 / $15,848.93	Facility		$2,754.23	$3,467.37	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $3,311.31	Professional		$1,174.90	$1,548.82	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,951.21 / $4,168.69	Professional		$1,412.54	$2,951.21	$4,168.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $3,548.13	Professional		$2,089.30	$2,754.23	$3,548.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $4,677.35	Facility		$1,380.38	$2,089.30	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $3,467.37	Professional		$1,819.70	$2,137.96	$3,467.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $2,691.53	Facility		$1,737.80	$2,398.83	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,041.74 / $3,090.30	Facility		$1,288.25	$2,041.74	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,511.89 / $3,630.78	Professional		$79.43	$2,511.89	$3,630.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $22,387.21	Facility		$13,803.84	$18,620.87	$22,387.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $3,715.35	Professional		$2,511.89	$2,951.21	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $25,703.96	Facility		$2,884.03	$17,782.79	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $3,630.78	Professional		$1,513.56	$2,454.71	$3,630.78