Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,570.88 / $7,943.28	Facility		$2,511.89	$4,570.88	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $5,754.40	Professional		$1,905.46	$2,511.89	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,073.80 / $5,495.41	Professional		$2,570.40	$4,073.80	$5,495.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,890.45 / $4,786.30	Professional		$1,819.70	$3,890.45	$4,786.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,884.03 / $6,456.54	Facility		$2,511.89	$2,884.03	$6,456.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,801.89 / $6,025.60	Professional		$3,019.95	$3,801.89	$6,025.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $3,801.89	Facility		$3,090.30	$3,630.78	$3,801.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $4,677.35	Facility		$2,137.96	$2,884.03	$4,677.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,548.13 / $5,248.07	Professional		$79.43	$3,548.13	$5,248.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,466.84 / $5,888.44	Professional		$3,467.37	$4,466.84	$5,888.44
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 $2,454.71 / $3,981.07 / $5,495.41	Professional		$2,454.71	$3,981.07	$5,495.41