Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,365.16 / $15,848.93	Facility		$3,388.44	$4,365.16	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $4,168.69	Professional		$1,548.82	$1,949.84	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,715.35 / $5,248.07	Professional		$1,778.28	$3,715.35	$5,248.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,162.28 / $4,168.69	Professional		$2,398.83	$3,162.28	$4,168.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,691.53 / $15,848.93	Facility		$2,041.74	$2,691.53	$15,848.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $4,570.88	Professional		$2,454.71	$2,884.03	$4,570.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,235.94 / $3,388.44	Facility		$2,570.40	$3,235.94	$3,388.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $4,365.16	Facility		$1,819.70	$2,570.40	$4,365.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,311.31 / $4,677.35	Professional		$79.43	$3,311.31	$4,677.35
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 $3,090.30 / $3,630.78 / $4,570.88	Professional		$3,090.30	$3,630.78	$4,570.88
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 $2,187.76 / $3,162.28 / $4,570.88	Professional		$2,187.76	$3,162.28	$4,570.88