Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,019.95 / $7,943.28	Facility		$1,230.27	$3,019.95	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $4,168.69	Professional		$1,348.96	$1,778.28	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,884.03 / $4,073.80	Professional		$1,862.09	$2,884.03	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,884.03 / $3,548.13	Professional		$1,348.96	$2,884.03	$3,548.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,630.27 / $3,981.07	Facility		$1,698.24	$2,630.27	$3,981.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,754.23 / $4,168.69	Professional		$2,187.76	$2,754.23	$4,168.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,630.27 / $2,818.38	Facility		$2,187.76	$2,630.27	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $3,388.44	Facility		$1,698.24	$2,290.87	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,570.40 / $3,801.89	Professional		$79.43	$2,570.40	$3,801.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility		$7,244.36	$7,244.36	$7,244.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,311.31 / $4,365.16	Professional		$2,570.40	$3,311.31	$4,365.16
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 $1,819.70 / $2,884.03 / $4,073.80	Professional		$1,819.70	$2,884.03	$4,073.80