Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $13,182.57	Facility		$2,137.96	$2,691.53	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $2,691.53	Professional		$1,000.00	$1,258.93	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,290.87 / $3,311.31	Professional		$1,096.48	$2,290.87	$3,311.31
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 $1,258.93 / $1,737.80 / $3,467.37	Facility		$1,258.93	$1,737.80	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $2,818.38	Professional		$1,584.89	$1,905.46	$2,818.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $2,137.96	Facility		$1,698.24	$2,089.30	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $2,630.27	Facility		$1,148.15	$1,584.89	$2,630.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,041.74 / $2,951.21	Professional		$79.43	$2,041.74	$2,951.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $21,379.62 / $25,703.96	Facility		$15,135.61	$21,379.62	$25,703.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $2,951.21	Professional		$1,995.26	$2,344.23	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $30,902.95	Facility		$2,137.96	$13,182.57	$30,902.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,137.96 / $2,951.21	Professional		$1,380.38	$2,137.96	$2,951.21