Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,090.30 / $13,182.57	Facility		$2,454.71	$3,090.30	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $3,019.95	Professional		$1,148.15	$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 $1,698.24 / $2,187.76 / $2,951.21	Professional		$1,698.24	$2,187.76	$2,951.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $4,265.80	Facility		$1,412.54	$2,089.30	$4,265.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,137.96 / $3,235.94	Professional		$1,778.28	$2,137.96	$3,235.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $2,454.71	Facility		$1,905.46	$2,398.83	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $3,019.95	Facility		$1,318.26	$1,819.70	$3,019.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,344.23 / $3,388.44	Professional		$79.43	$2,344.23	$3,388.44
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 $2,290.87 / $2,630.27 / $3,311.31	Professional		$2,290.87	$2,630.27	$3,311.31
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 $1,584.89 / $2,398.83 / $3,388.44	Professional		$1,584.89	$2,398.83	$3,388.44