Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,235.94 / $7,943.28	Facility		$1,905.46	$3,235.94	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $3,235.94	Professional		$1,202.26	$1,584.89	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,754.23 / $3,890.45	Professional		$1,479.11	$2,754.23	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,630.27 / $3,311.31	Professional		$1,995.26	$2,630.27	$3,311.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $3,467.37	Facility		$1,584.89	$1,995.26	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $3,467.37	Professional		$2,041.74	$2,398.83	$3,467.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,511.89 / $2,630.27	Facility		$2,041.74	$2,511.89	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $3,235.94	Facility		$1,479.11	$1,905.46	$3,235.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,511.89 / $3,630.78	Professional		$79.43	$2,511.89	$3,630.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $3,548.13	Professional		$2,454.71	$2,884.03	$3,548.13
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 $1,698.24 / $2,630.27 / $3,715.35	Professional		$1,698.24	$2,630.27	$3,715.35