Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $7,943.28	Facility		$2,570.40	$4,677.35	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $5,888.44	Professional		$1,905.46	$2,570.40	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,168.69 / $5,754.40	Professional		$2,570.40	$4,168.69	$5,754.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,981.07 / $4,786.30	Professional		$1,778.28	$3,981.07	$4,786.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,630.78 / $5,495.41	Facility		$2,570.40	$3,630.78	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,801.89 / $5,754.40	Professional		$3,019.95	$3,801.89	$5,754.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,630.78 / $3,890.45	Facility		$3,019.95	$3,630.78	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,090.30 / $4,897.79	Facility		$2,238.72	$3,090.30	$4,897.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,630.78 / $5,370.32	Professional		$79.43	$3,630.78	$5,370.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Facility		$10,232.93	$10,232.93	$10,232.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,570.88 / $6,025.60	Professional		$3,548.13	$4,570.88	$6,025.60
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 $2,511.89 / $4,073.80 / $5,623.41	Professional		$2,511.89	$4,073.80	$5,623.41