Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,019.95 / $7,943.28	Facility		$1,621.81	$3,019.95	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $3,715.35	Professional		$1,202.26	$1,621.81	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,570.40 / $3,630.78	Professional		$1,621.81	$2,570.40	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,511.89 / $3,090.30	Professional		$1,174.90	$2,511.89	$3,090.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $3,467.37	Facility		$1,621.81	$2,290.87	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $3,715.35	Professional		$1,905.46	$2,344.23	$3,715.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $2,511.89	Facility		$1,995.26	$2,344.23	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $3,090.30	Facility		$1,479.11	$1,995.26	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,290.87 / $3,388.44	Professional		$79.43	$2,290.87	$3,388.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility		$6,456.54	$6,456.54	$6,456.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,884.03 / $3,890.45	Professional		$2,238.72	$2,884.03	$3,890.45
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 $1,584.89 / $2,630.27 / $3,630.78	Professional		$1,584.89	$2,630.27	$3,630.78