Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,897.79 / $7,943.28	Facility		$2,630.27	$4,897.79	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,630.27 / $6,025.60	Professional		$1,778.28	$2,630.27	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,168.69 / $5,888.44	Professional		$2,691.53	$4,168.69	$5,888.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $4,073.80 / $5,011.87	Professional		$1,905.46	$4,073.80	$5,011.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,630.78 / $5,754.40	Facility		$2,630.27	$3,630.78	$5,754.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,801.89 / $5,888.44	Professional		$3,090.30	$3,801.89	$5,888.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,801.89 / $4,073.80	Facility		$3,090.30	$3,801.89	$4,073.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,162.28 / $5,128.61	Facility		$2,344.23	$3,162.28	$5,128.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,715.35 / $5,495.41	Professional		$79.43	$3,715.35	$5,495.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Facility		$11,220.18	$11,220.18	$11,220.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,786.30 / $6,309.57	Professional		$3,715.35	$4,786.30	$6,309.57
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 $2,630.27 / $4,365.16 / $5,888.44	Professional		$2,630.27	$4,365.16	$5,888.44