Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $7,943.28 / $19,054.61	Facility		$3,548.13	$7,943.28	$19,054.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $4,365.16	Professional		$1,513.56	$2,041.74	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,801.89 / $5,495.41	Professional		$1,862.09	$3,801.89	$5,495.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,467.37 / $4,570.88	Professional		$2,630.27	$3,467.37	$4,570.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,818.38 / $6,309.57	Facility		$1,995.26	$2,818.38	$6,309.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,818.38 / $4,570.88	Professional		$2,454.71	$2,818.38	$4,570.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,019.95 / $3,548.13	Facility		$2,238.72	$3,019.95	$3,548.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $4,168.69	Facility		$1,905.46	$2,630.27	$4,168.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,311.31 / $4,677.35	Professional		$79.43	$3,311.31	$4,677.35
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 $3,235.94 / $3,890.45 / $4,786.30	Professional		$3,235.94	$3,890.45	$4,786.30
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 $1,905.46 / $3,162.28 / $4,786.30	Professional		$1,905.46	$3,162.28	$4,786.30