Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,548.13 / $7,943.28	Facility		$1,995.26	$3,548.13	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $3,548.13	Professional		$1,258.93	$1,698.24	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $3,019.95 / $4,365.16	Professional		$1,479.11	$3,019.95	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $3,388.44	Professional		$1,949.84	$2,570.40	$3,388.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $3,801.89	Facility		$1,659.59	$2,290.87	$3,801.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,511.89 / $3,801.89	Professional		$2,089.30	$2,511.89	$3,801.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $2,884.03	Facility		$2,290.87	$2,691.53	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $3,388.44	Facility		$1,513.56	$2,137.96	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,754.23 / $3,801.89	Professional		$79.43	$2,754.23	$3,801.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,090.30 / $3,890.45	Professional		$2,691.53	$3,090.30	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,754.23 / $3,890.45	Professional		$1,778.28	$2,754.23	$3,890.45