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 $1,995.26 / $2,630.27 / $8,912.51	Professional		$1,995.26	$2,630.27	$8,912.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,265.80 / $5,888.44	Professional		$2,691.53	$4,265.80	$5,888.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $4,073.80 / $5,011.87	Professional		$1,862.09	$4,073.80	$5,011.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,162.28 / $6,918.31	Facility		$2,630.27	$3,162.28	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,981.07 / $6,309.57	Professional		$3,235.94	$3,981.07	$6,309.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,801.89 / $3,981.07	Facility		$3,235.94	$3,801.89	$3,981.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,162.28 / $4,897.79	Facility		$2,290.87	$3,162.28	$4,897.79
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 $10,471.29 / $10,471.29 / $10,471.29	Facility		$10,471.29	$10,471.29	$10,471.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,677.35 / $6,309.57	Professional		$3,630.78	$4,677.35	$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 / $4,265.80 / $5,888.44	Professional		$2,630.27	$4,265.80	$5,888.44