Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $15,848.93	Facility		$3,090.30	$3,981.07	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $3,890.45	Professional		$1,348.96	$1,819.70	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,388.44 / $4,786.30	Professional		$1,621.81	$3,388.44	$4,786.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $3,801.89	Professional		$2,187.76	$2,884.03	$3,801.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $15,848.93	Facility		$1,862.09	$2,398.83	$15,848.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $4,168.69	Professional		$2,238.72	$2,630.27	$4,168.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $3,090.30	Facility		$2,344.23	$2,951.21	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $3,981.07	Facility		$1,659.59	$2,290.87	$3,981.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,019.95 / $4,265.80	Professional		$79.43	$3,019.95	$4,265.80
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 $2,884.03 / $3,311.31 / $4,168.69	Professional		$2,884.03	$3,311.31	$4,168.69
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 $1,995.26 / $2,884.03 / $4,168.69	Professional		$1,995.26	$2,884.03	$4,168.69