Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,162.28 / $7,943.28	Facility		$1,905.46	$3,162.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $4,365.16	Professional		$1,445.44	$1,905.46	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,090.30 / $4,365.16	Professional		$1,819.70	$3,090.30	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,691.53 / $3,235.94	Professional		$1,202.26	$2,691.53	$3,235.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,754.23 / $4,073.80	Facility		$1,778.28	$2,754.23	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $4,168.69	Professional		$2,137.96	$2,818.38	$4,168.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,454.71 / $2,951.21	Facility		$2,089.30	$2,454.71	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,187.76 / $3,548.13	Facility		$1,479.11	$2,187.76	$3,548.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,691.53 / $3,981.07	Professional		$79.43	$2,691.53	$3,981.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Facility		$7,585.78	$7,585.78	$7,585.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,235.94 / $4,570.88	Professional		$2,691.53	$3,235.94	$4,570.88
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 $1,862.09 / $3,019.95 / $4,265.80	Professional		$1,862.09	$3,019.95	$4,265.80