Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,090.30 / $13,803.84	Facility		$2,398.83	$3,090.30	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $3,019.95	Professional		$1,122.02	$1,445.44	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,630.27 / $3,715.35	Professional		$1,258.93	$2,630.27	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $3,019.95	Professional		$1,737.80	$2,290.87	$3,019.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $3,981.07	Facility		$1,348.96	$1,949.84	$3,981.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,041.74 / $3,162.28	Professional		$1,778.28	$2,041.74	$3,162.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $2,454.71	Facility		$1,659.59	$2,238.72	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $2,818.38	Facility		$1,318.26	$1,819.70	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,290.87 / $3,235.94	Professional		$79.43	$2,290.87	$3,235.94
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 $2,238.72 / $2,630.27 / $3,311.31	Professional		$2,238.72	$2,630.27	$3,311.31
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 $1,479.11 / $2,238.72 / $3,311.31	Professional		$1,479.11	$2,238.72	$3,311.31