Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,162.28 / $7,943.28	Facility		$1,737.80	$3,162.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $3,981.07	Professional		$1,288.25	$1,737.80	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,818.38 / $3,890.45	Professional		$1,737.80	$2,818.38	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,691.53 / $3,311.31	Professional		$1,258.93	$2,691.53	$3,311.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,454.71 / $3,715.35	Facility		$1,737.80	$2,454.71	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,570.40 / $3,890.45	Professional		$2,089.30	$2,570.40	$3,890.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $2,754.23	Facility		$2,137.96	$2,511.89	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $3,311.31	Facility		$1,584.89	$2,238.72	$3,311.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,454.71 / $3,630.78	Professional		$79.43	$2,454.71	$3,630.78
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 $2,398.83 / $3,090.30 / $4,168.69	Professional		$2,398.83	$3,090.30	$4,168.69
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 $1,778.28 / $2,818.38 / $3,890.45	Professional		$1,778.28	$2,818.38	$3,890.45