Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,265.80 / $7,943.28	Facility		$2,570.40	$4,265.80	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $4,265.80	Professional		$1,584.89	$2,089.30	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,715.35 / $5,128.61	Professional		$1,949.84	$3,715.35	$5,128.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,388.44 / $4,365.16	Professional		$2,630.27	$3,388.44	$4,365.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $5,495.41	Facility		$1,995.26	$2,570.40	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,311.31 / $4,677.35	Professional		$2,691.53	$3,311.31	$4,677.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,311.31 / $3,467.37	Facility		$2,884.03	$3,311.31	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $4,365.16	Facility		$1,905.46	$2,570.40	$4,365.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,388.44 / $4,786.30	Professional		$79.43	$3,388.44	$4,786.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Facility		$9,120.11	$9,120.11	$9,120.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,801.89 / $4,786.30	Professional		$3,311.31	$3,801.89	$4,786.30
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 $2,344.23 / $3,548.13 / $4,897.79	Professional		$2,344.23	$3,548.13	$4,897.79