Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,623.41 / $19,054.61	Facility		$2,344.23	$5,623.41	$19,054.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $3,548.13	Professional		$912.01	$1,202.26	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,238.72 / $3,162.28	Professional		$1,071.52	$2,238.72	$3,162.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $2,570.40	Professional		$1,479.11	$1,949.84	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,041.74 / $11,748.98	Facility		$1,202.26	$2,041.74	$11,748.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $2,691.53	Professional		$1,380.38	$1,737.80	$2,691.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $2,089.30	Facility		$1,584.89	$1,905.46	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $2,398.83	Facility		$1,122.02	$1,548.82	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,949.84 / $2,754.23	Professional		$79.43	$1,949.84	$2,754.23
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 $1,905.46 / $2,238.72 / $2,818.38	Professional		$1,905.46	$2,238.72	$2,818.38
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 $1,230.27 / $1,905.46 / $2,754.23	Professional		$1,230.27	$1,905.46	$2,754.23