Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,344.23 / $7,943.28	Facility		$1,258.93	$2,344.23	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $2,884.03	Professional		$933.25	$1,230.27	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,995.26 / $2,818.38	Professional		$1,288.25	$1,995.26	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,949.84 / $2,398.83	Professional		$933.25	$1,949.84	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $2,691.53	Facility		$1,258.93	$1,819.70	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $2,884.03	Professional		$1,479.11	$1,862.09	$2,884.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $1,905.46	Facility		$1,513.56	$1,819.70	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,344.23	Facility		$1,174.90	$1,584.89	$2,344.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,778.28 / $2,630.27	Professional		$79.43	$1,778.28	$2,630.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility		$5,011.87	$5,011.87	$5,011.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $3,019.95	Professional		$1,737.80	$2,238.72	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $28,183.83 / $56,234.13	Facility		$3,981.07	$28,183.83	$56,234.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $2,818.38	Professional		$1,258.93	$1,995.26	$2,818.38