Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,019.95 / $13,803.84	Facility		$2,344.23	$3,019.95	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $2,951.21	Professional		$1,071.52	$1,380.38	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,570.40 / $3,630.78	Professional		$1,230.27	$2,570.40	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $2,951.21	Professional		$1,698.24	$2,238.72	$2,951.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $4,073.80	Facility		$1,318.26	$1,949.84	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $3,090.30	Professional		$1,698.24	$1,995.26	$3,090.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $2,398.83	Facility		$1,584.89	$2,137.96	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $2,818.38	Facility		$1,288.25	$1,778.28	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,238.72 / $3,162.28	Professional		$79.43	$2,238.72	$3,162.28
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 $2,187.76 / $2,570.40 / $3,235.94	Professional		$2,187.76	$2,570.40	$3,235.94
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 $1,412.54 / $2,187.76 / $3,162.28	Professional		$1,412.54	$2,187.76	$3,162.28