Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,311.31 / $7,943.28	Facility		$1,778.28	$3,311.31	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $4,073.80	Professional		$1,348.96	$1,778.28	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,818.38 / $3,981.07	Professional		$1,819.70	$2,818.38	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,754.23 / $3,388.44	Professional		$1,288.25	$2,754.23	$3,388.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,570.40 / $3,801.89	Facility		$1,778.28	$2,570.40	$3,801.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $3,981.07	Professional		$2,089.30	$2,630.27	$3,981.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,454.71 / $2,691.53	Facility		$2,041.74	$2,454.71	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $3,090.30	Facility		$1,621.81	$2,041.74	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,511.89 / $3,715.35	Professional		$79.43	$2,511.89	$3,715.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,162.28 / $4,265.80	Professional		$2,454.71	$3,162.28	$4,265.80
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 $1,621.81 / $2,691.53 / $3,981.07	Professional		$1,621.81	$2,691.53	$3,981.07