Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $7,943.28 / $8,317.64	Facility		$4,466.84	$7,943.28	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,466.84 / $10,232.93	Professional		$3,388.44	$4,466.84	$10,232.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $7,244.36 / $10,000.00	Professional		$4,570.88	$7,244.36	$10,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $6,918.31 / $8,511.38	Professional		$3,162.28	$6,918.31	$8,511.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,128.61 / $9,772.37	Facility		$4,466.84	$5,128.61	$9,772.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,570.88 / $15,488.17	Professional		$3,311.31	$4,570.88	$15,488.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $6,456.54 / $6,918.31	Facility		$5,370.32	$6,456.54	$6,918.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $8,709.64	Facility		$3,890.45	$5,128.61	$8,709.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $6,456.54 / $9,332.54	Professional		$79.43	$6,456.54	$9,332.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19,054.61 / $19,054.61 / $19,054.61	Facility		$19,054.61	$19,054.61	$19,054.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $8,128.31 / $10,715.19	Professional		$6,309.57	$8,128.31	$10,715.19
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 $4,677.35 / $7,413.10 / $10,000.00	Professional		$4,677.35	$7,413.10	$10,000.00