Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,570.88 / $7,943.28	Facility		$2,511.89	$4,570.88	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $5,754.40	Professional		$1,737.80	$2,511.89	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,890.45 / $5,623.41	Professional		$2,570.40	$3,890.45	$5,623.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,890.45 / $4,786.30	Professional		$1,737.80	$3,890.45	$4,786.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,019.95 / $6,606.93	Facility		$2,511.89	$3,019.95	$6,606.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,981.07 / $6,025.60	Professional		$2,951.21	$3,981.07	$6,025.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $3,801.89	Facility		$3,090.30	$3,630.78	$3,801.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,630.27 / $4,786.30	Facility		$2,137.96	$2,630.27	$4,786.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,548.13 / $5,248.07	Professional		$79.43	$3,548.13	$5,248.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Facility		$10,232.93	$10,232.93	$10,232.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,466.84 / $5,888.44	Professional		$3,467.37	$4,466.84	$5,888.44
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 $3,019.95 / $3,981.07 / $5,623.41	Professional		$3,019.95	$3,981.07	$5,623.41