Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,235.94 / $7,943.28	Facility		$1,778.28	$3,235.94	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $4,073.80	Professional		$1,380.38	$1,819.70	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,754.23 / $4,265.80	Professional		$1,862.09	$2,754.23	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,754.23 / $3,311.31	Professional		$1,258.93	$2,754.23	$3,311.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,238.72 / $4,570.88	Facility		$1,778.28	$2,238.72	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $4,265.80	Professional		$2,089.30	$2,818.38	$4,265.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,511.89 / $3,162.28	Facility		$2,187.76	$2,511.89	$3,162.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $3,388.44	Facility		$1,513.56	$1,819.70	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,570.40 / $3,890.45	Professional		$79.43	$2,570.40	$3,890.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Facility		$8,317.64	$8,317.64	$8,317.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,162.28 / $4,168.69	Professional		$2,454.71	$3,162.28	$4,168.69
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 $2,089.30 / $3,235.94 / $4,168.69	Professional		$2,089.30	$3,235.94	$4,168.69