Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,187.76 / $7,943.28	Facility		$1,288.25	$2,187.76	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $2,187.76	Professional		$812.83	$1,071.52	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,862.09 / $2,691.53	Professional		$1,023.29	$1,862.09	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $2,238.72	Professional		$1,380.38	$1,819.70	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $2,290.87	Facility		$1,071.52	$1,348.96	$2,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,584.89 / $2,344.23	Professional		$1,380.38	$1,584.89	$2,344.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $1,778.28	Facility		$1,380.38	$1,698.24	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $2,187.76	Facility		$1,047.13	$1,318.26	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,698.24 / $2,454.71	Professional		$79.43	$1,698.24	$2,454.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Facility		$4,677.35	$4,677.35	$4,677.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $2,454.71	Professional		$1,659.59	$1,949.84	$2,454.71
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 $1,148.15 / $1,778.28 / $2,511.89	Professional		$1,148.15	$1,778.28	$2,511.89