Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,884.03 / $7,943.28	Facility		$1,584.89	$2,884.03	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $3,548.13	Professional		$1,174.90	$1,584.89	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,454.71 / $3,467.37	Professional		$1,584.89	$2,454.71	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,454.71 / $3,019.95	Professional		$1,148.15	$2,454.71	$3,019.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $3,388.44	Facility		$1,584.89	$2,238.72	$3,388.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,290.87 / $3,801.89	Professional		$1,905.46	$2,290.87	$3,801.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,290.87 / $2,398.83	Facility		$1,862.09	$2,290.87	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $2,884.03	Facility		$1,445.44	$1,905.46	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,238.72 / $3,311.31	Professional		$79.43	$2,238.72	$3,311.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Facility		$6,165.95	$6,165.95	$6,165.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $3,715.35	Professional		$2,187.76	$2,818.38	$3,715.35
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 $1,548.82 / $2,454.71 / $3,467.37	Professional		$1,548.82	$2,454.71	$3,467.37