Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,090.30 / $7,943.28	Facility		$1,659.59	$3,090.30	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $3,801.89	Professional		$1,230.27	$1,659.59	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,630.27 / $3,715.35	Professional		$1,698.24	$2,630.27	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,570.40 / $3,162.28	Professional		$1,202.26	$2,570.40	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,398.83 / $3,548.13	Facility		$1,659.59	$2,398.83	$3,548.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $3,801.89	Professional		$2,041.74	$2,398.83	$3,801.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $2,630.27	Facility		$1,995.26	$2,398.83	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $3,235.94	Facility		$1,513.56	$2,041.74	$3,235.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,344.23 / $3,467.37	Professional		$79.43	$2,344.23	$3,467.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,019.95 / $3,981.07	Professional		$2,344.23	$3,019.95	$3,981.07
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 $1,659.59 / $2,754.23 / $3,715.35	Professional		$1,659.59	$2,754.23	$3,715.35