Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,187.76 / $7,943.28	Facility		$1,174.90	$2,187.76	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $2,691.53	Professional		$912.01	$1,174.90	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,041.74 / $2,630.27	Professional		$1,202.26	$2,041.74	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,819.70 / $2,238.72	Professional		$812.83	$1,819.70	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $2,511.89	Facility		$1,174.90	$1,659.59	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $2,630.27	Professional		$1,380.38	$1,862.09	$2,630.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $1,905.46	Facility		$1,412.54	$1,698.24	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $2,290.87	Facility		$1,023.29	$1,412.54	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,698.24 / $2,454.71	Professional		$79.43	$1,698.24	$2,454.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $2,818.38	Professional		$1,659.59	$2,137.96	$2,818.38
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 $1,174.90 / $1,995.26 / $2,630.27	Professional		$1,174.90	$1,995.26	$2,630.27